Individual
MR. BRADLEY LEN ICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 PAGE RD, PINEHURST, NC 28374-8798
(910) 295-5511
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8798
(910) 295-5511
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2019-00429
NC
Other
Enumeration date
03/26/2013
Last updated
02/05/2025
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