Organization
BRADLEY J FOLKESTAD, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J FOLKESTAD MD (OWNER)
(623) 561-7250
Entity
Organization
Contact information
Practice address
18699 N 67TH AVE, SUITE 320, GLENDALE, AZ 85308-7140
(623) 561-7250
(623) 561-0098
Mailing address
18699 N 67TH AVE, SUITE 320, GLENDALE, AZ 85308-7140
(623) 561-7250
(623) 561-0098
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19824
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106246
—
AZ
Enumeration date
06/11/2008
Last updated
06/11/2008
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