Individual
BRADLEY RICHARD COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 E 20TH ST, DUBUQUE, IA 52001-3514
(563) 690-1836
Mailing address
345 E 20TH ST, DUBUQUE, IA 52001-3514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21812
IA
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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