Individual
BRADLEY W DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 457-4180
Mailing address
PO BOX 6369, HELENA, MT 59604-6369
(406) 447-2823
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D0038425
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021292700
—
DC
05
—
543651600
—
MD
05
—
7200455
—
VA
Enumeration date
10/23/2005
Last updated
03/26/2018
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