Individual
DR. WILLIAM L BRADSHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
822 W 4TH ST, LEADVILLE, CO 80461-3861
(719) 486-7164
(719) 486-7159
Mailing address
326 W 7TH ST, LEADVILLE, CO 80461-3526
(719) 486-0943
(719) 486-7159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44701
CO
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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