Individual
MR. JAMES J BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5516 MOUNTAIN GARLAND DR, COLORADO SPRINGS, CO 80923
(830) 776-6495
Mailing address
33990 CANYON MILL RD, RONAN, MT 59864-9160
(406) 676-0216
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
38977
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918517046
—
MO
Enumeration date
02/10/2006
Last updated
06/15/2018
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