Individual
DR. BRADLEY DELMAR HERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15366 11TH ST, SUITE K, VICTORVILLE, CA 92395-3726
(760) 245-6465
(760) 245-1132
Mailing address
15366 11TH ST, SUITE K, VICTORVILLE, CA 92395-3726
(760) 245-6465
(760) 245-1132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A55805
CA
Other
Enumeration date
09/09/2008
Last updated
09/07/2011
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