Individual
DR. JASON TROY BRADLEY
Active
Individual
DR. JASON TROY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, ND, IFMCP
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
06258
IA
175F00000X
Naturopath
NA
IA
202D00000X
Integrative Medicine Physician
Primary
NA
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273417
—
IA
Enumeration date
11/25/2005
Last updated
08/14/2024
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