Individual
BRADLEY SCOTT BIDESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 N DOBSON RD, PHOENX, AZ 85524
(480) 899-6711
Mailing address
1919 N DOBSON, PHOENIX, AZ 85524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020688
AZ
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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