Individual
BRADFORD JAMES SIEGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DR.0056458
CO
207ZP0213X
Pediatric Pathology Physician
Primary
DR.0056458
CO
Other
Enumeration date
04/05/2012
Last updated
08/20/2018
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