Individual
DR. BRADLEY PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP, MBA, MS
Contact information
Practice address
1 MADRONE ST, WILLITS, CA 95490-4225
(707) 456-3100
Mailing address
1724 EMERSON STREET, UNIT #1, DENVER, CO 80218
(612) 367-7474
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R051320
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME-1670
MAINE MEDICARE
ME
Enumeration date
10/20/2006
Last updated
06/27/2017
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