Individual
DR. BRADFORD ELROD MUTCHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1219 N. MAIN ST, BEAVER DAM, KY 42320
(270) 274-1800
(270) 274-5600
Mailing address
1219 N. MAIN ST., BEAVER DAM, KY 42320
(270) 274-1800
(270) 274-5600
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
13394
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64133945
—
KY
Enumeration date
04/24/2007
Last updated
04/15/2009
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