Individual
MR. DENNIS ALAN BRADBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1233
(505) 722-1487
Mailing address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1233
(505) 722-1487
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
15
CO
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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