Individual
JOSHUA BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
707 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-2003
(304) 768-8500
(304) 768-8530
Mailing address
707 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-2003
(304) 768-8500
(304) 768-8530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2241
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016359
—
WV
Enumeration date
04/16/2007
Last updated
11/16/2012
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