Individual
DR. BRADLEY THOMAS WAJDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1393 BAILEY DR., HANFORD, CA 93230-5922
(559) 582-4481
Mailing address
1393 BAILEY DRIVE, HANFORD, CA 93230-5922
(559) 582-4481
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A5557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160101904300
—
CA
Enumeration date
04/16/2007
Last updated
07/08/2007
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