Organization
BRADLEY SMITH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY SMITH MD (PRESIDENT)
(209) 571-5071
Entity
Organization
Contact information
Practice address
1329 SPANOS CT STE C1, MODESTO, CA 95355-2806
(209) 451-2377
(209) 433-0441
Mailing address
PO BOX 576900, MODESTO, CA 95357-6900
(209) 451-2377
(209) 433-0441
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G79816
CA
Other
Enumeration date
09/28/2009
Last updated
03/07/2011
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