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Individual

BRADLEY PAUL MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4640 W 6TH AVE, DENVER, CO 80204-4654
(719) 453-4275
Mailing address
2280 BUSHNELL CIR APT 301, HIGHLANDS RANCH, CO 80129-2813
(719) 453-4275

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CO

Other

Enumeration date
07/08/2024
Last updated
07/08/2024
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