Organization
JOE F BRADLEY MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE F BRADLEY MD (PRESIDENT)
(501) 219-2412
Entity
Organization
Contact information
Practice address
7 OFFICE PARK DR, SUITE 120, LITTLE ROCK, AR 72211-3843
(501) 219-2412
(501) 219-2142
Mailing address
PO BOX 2427, LITTLE ROCK, AR 72203-2427
(501) 375-6511
(501) 492-3063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C5176
AR
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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