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Individual

BRADLEY D HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 MORRIS ST, SUITE 102, CHARLESTON, WV 25301-1409
(304) 388-7130
(304) 388-7136
Mailing address
600 MORRIS ST STE 102, CHARLESTON, WV 25301-1409
(304) 388-7130
(304) 388-7136

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17873
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0077299-000
WV
Enumeration date
07/29/2005
Last updated
09/16/2025
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