Individual
DR. BRADLEY DAVID WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3655 CROSSINGS DR, PRESCOTT, AZ 86305-7101
(928) 778-9250
(928) 778-2306
Mailing address
3655 CROSSINGS DR, PRESCOTT, AZ 86305-7101
(928) 778-9250
(928) 778-2306
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35254
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35254
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099069
—
AZ
Enumeration date
06/29/2006
Last updated
10/17/2019
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