Individual
BRADFORD THOMAS MATHEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
NAVAL HOSPITAL CAMP PENDLETON, 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055-5191
(760) 725-4357
Mailing address
NAVAL HOSPITAL CAMP PENDLETON, BOX 555191 MERCY CIRCLE, CAMP PENDLETON, CA 92055-5191
(619) 306-6582
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
CA
207Q00000X
Family Medicine Physician
Primary
20A20857
CA
Other
Enumeration date
03/29/2021
Last updated
07/06/2024
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