Individual
SCOTT BRADBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST, CSFA
Contact information
Practice address
9020 GREYHAWK RD, AMARILLO, TX 79119-7510
(806) 674-8365
Mailing address
9020 GREYHAWK RD, AMARILLO, TX 79119-7510
(806) 674-8365
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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