Individual
DR. JAMES L BRADFORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 LAKEVIEW CT, SUITE A, COVINGTON, LA 70433-7514
(985) 845-2677
(985) 867-5498
Mailing address
350 LAKEVIEW CT, SUITE A, COVINGTON, LA 70433-7514
(985) 845-2677
(985) 867-5498
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009810
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101672
—
LA
Enumeration date
03/27/2006
Last updated
03/13/2013
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