Individual
CRYSTAL-DAWN BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
10 MEDICAL PARK STE 203, WHEELING, WV 26003-6389
(304) 243-8360
Mailing address
PO BOX 844572, BOSTON, MA 02284-4572
(301) 933-7133
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
10499
WV
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
733
NC
Other
Enumeration date
04/04/2016
Last updated
10/07/2022
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