Individual
JOHN EDWARD BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 TUDOR DR, STE 110, ANCHORAGE, AK 99503
(907) 685-1420
Mailing address
PO BOX 58, YELLOWSTONE NATIONAL PARK, WY 82190-0058
(307) 344-7965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25769
MT
363A00000X
Physician Assistant
Primary
PA732
WY
363A00000X
Physician Assistant
PADA1193
AK
Other
Enumeration date
07/14/2006
Last updated
01/04/2023
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