Individual
BRADLEY DEAN KAMSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2121 HEGG DR, ROCK VALLEY, IA 51247-1445
(712) 476-8100
(712) 476-8190
Mailing address
2121 HEGG DR, ROCK VALLEY, IA 51247-1445
(712) 476-8100
(712) 476-8190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3093
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1163311
—
IA
Enumeration date
08/18/2005
Last updated
05/23/2013
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