Individual
MR. BRADLEY ALLEN SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HMC SF-IDC
Contact information
Practice address
1548 WILDERNESS RD, NAVCON BRIG CHESAPEAKE, CHESAPEAKE, VA 23322-4513
(757) 421-8639
Mailing address
1548 WILDERNESS RD, NAVCON BRIG CHESAPEAKE, CHESAPEAKE, VA 23322-4513
(757) 421-8639
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
05/22/2014
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