Individual
DR. BRADLEY JAY STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
631 E STATE ST, GEORGETOWN, OH 45121-1437
(937) 378-6387
(937) 378-4253
Mailing address
3205 N ACADEMY BLVD, STE 130, COLORADO SPRINGS, CO 80917-5152
(513) 576-7700
(513) 707-5692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.011946
OH
207Q00000X
Family Medicine Physician
Primary
DR.0061641
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121057
—
OH
Enumeration date
06/03/2013
Last updated
12/27/2018
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