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Individual

MR. HENRY LEE BRADBURY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MPAS

Contact information

Practice address
15585 NE 24TH ST, BELLEVUE, WA 98007-3836
(888) 227-3312
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60623848
WA

Other

Enumeration date
02/27/2006
Last updated
06/26/2016
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