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Individual

DR. BRADLY JACKSON THRASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
411 E CHESTNUT ST # ST7, LOUISVILLE, KY 40202-1713
(502) 588-3400
(502) 588-3401
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
04644
KY
2080P0205X
Pediatric Endocrinology Physician
3162
TN

Other

Enumeration date
05/23/2011
Last updated
04/10/2020
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