Individual
BRADLEY RAY IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2090 S OHIO ST, SALINA, KS 67401-6702
(785) 825-8221
(785) 452-7530
Mailing address
2090 S OHIO ST, SALINA, KS 67401-6702
(785) 825-8221
(785) 452-7530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0439793
KS
208M00000X
Hospitalist Physician
0439793
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201158740A
—
KS
Enumeration date
03/30/2014
Last updated
03/19/2020
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