Individual
DANIEL JOHN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 SIERRA ROSE DR STE B, RENO, NV 89511-2081
(775) 443-1530
Mailing address
650 SIERRA ROSE DR STE B, RENO, NV 89511-2081
(775) 443-1530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23000
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0241552
HMSA
HI
05
—
53792001
—
HI
05
—
BS374Z
—
CA
Enumeration date
12/22/2006
Last updated
04/15/2025
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