Individual
DR. MELISSA K BRADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 E. MARSHALL STREET, FAMILY MEDICINE, RICHMOND, VA 23298-0510
(804) 828-9626
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101058378
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010202914 54158118
—
VA
Enumeration date
08/29/2006
Last updated
07/08/2007
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