Individual
MS. MOLLIE M BRADMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1175 58TH AVE STE 200, GREELEY, CO 80634-4808
(970) 495-0444
(970) 488-3106
Mailing address
1175 58TH AVE STE 202, GREELEY, CO 80634-4808
(970) 495-0300
(970) 224-9624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3278
CO
Other
Enumeration date
11/01/2011
Last updated
04/25/2013
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