Individual
DR. BRADON MICHAEL MAGNUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(480) 813-7762
Mailing address
855 W WARNER RD, GILBERT, AZ 85233-7267
(480) 813-7762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025591
AZ
Other
Enumeration date
12/21/2021
Last updated
12/29/2021
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