Individual
MR. DAVID R BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1892 WEST MEMORIAL HWY., UNION GROVE, NC 28689-9049
(704) 539-4445
(704) 539-4663
Mailing address
P.O. BOX 103, UNION GROVE, NC 28689-0103
(704) 539-4445
(704) 539-4663
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703861
—
NC
Enumeration date
11/09/2009
Last updated
11/09/2009
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