Individual
DR. BRADLEY DAVID BAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2092 PALO VERDE BLVD S, LAKE HAVASU CITY, AZ 86403-4810
(610) 207-0210
Mailing address
4744 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9377
(928) 763-6822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017499
AZ
Other
Enumeration date
11/06/2015
Last updated
03/29/2022
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