Organization
MARK BRADSHAW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A BRADSHAW MD (PRESIDENT)
(541) 482-2175
Entity
Organization
Contact information
Practice address
1208 BEALL LN, CENTRAL POINT, OR 97502-1573
(541) 664-5151
(877) 772-9433
Mailing address
238 E MAIN ST, SUITE B, ASHLAND, OR 97520-1831
(541) 482-2175
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD24707
OR
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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