Organization
CHARLES J BRADAC JR DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J BRADAC JR. DO (OWNER)
(740) 676-4623
Entity
Organization
Contact information
Practice address
3000 GUERNSEY ST, BELLAIRE, OH 43906-1540
(740) 676-4623
Mailing address
2 DEER RUN DR, WHEELING, WV 26003-9376
(740) 676-4623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34005950
OH
Other
Enumeration date
08/21/2006
Last updated
08/24/2007
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