Individual
BRADLEY MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
11279 PERRY HWY, SUITE 450, WEXFORD, PA 15090-9381
(724) 933-1100
(724) 933-1160
Mailing address
205 MILLERS RUN RD, BRIDGEVILLE, PA 15017-1348
(412) 692-3145
(412) 692-8814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014432
PA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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