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Individual

MR. BRADLEY MICHAEL WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA-C

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
103
SC
367H00000X
Anesthesiologist Assistant
Primary
67.000233
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
67.000233
MEDICAL LICENSE
OH
Enumeration date
06/18/2014
Last updated
05/07/2024
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