Individual
MR. BRADLEY WAYNE FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-8617
(304) 872-2080
Mailing address
1402 RUNA RD, MOUNT NEBO, WV 26679-9350
(304) 872-5595
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
60153
WV
Other
Enumeration date
09/20/2007
Last updated
03/16/2017
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