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Individual

CHRISTINE BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
700 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2820
(614) 882-9338
(614) 882-3401
Mailing address
700 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2820
(614) 882-9338
(614) 882-3401

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34006424B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224246
ANTHEM
OH
05
2140052
OH
Enumeration date
10/02/2006
Last updated
03/27/2013
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