Individual
TYLER J. BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 HIGHLAND BLVD STE 1210, BOZEMAN, MT 59715-6905
(406) 587-9202
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8671
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017748
MDCD PIN
MT
Enumeration date
11/06/2006
Last updated
02/07/2008
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