Individual
BENJAMIN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1020 E 8TH ST, OKMULGEE, OK 74447-4726
(918) 756-3114
(877) 403-5739
Mailing address
1020 E 8TH ST, OKMULGEE, OK 74447-4726
(918) 756-3114
(877) 403-5739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
67001
OK
Other
Enumeration date
11/09/2013
Last updated
01/29/2025
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