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Individual

DONNELL L BRADFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4567 E 9TH AVE, DENVER, CO 80220-3908
(303) 320-2455
(303) 320-7189
Mailing address
PO BOX 780453, PHILADELPHIA, PA 19178-0453
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M8237
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806030200
ID
Enumeration date
06/05/2006
Last updated
12/20/2018
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