Individual
DR. BRADLEY DALE WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
(831) 462-7730
(831) 462-7593
Mailing address
PO BOX 1190, CAPITOLA, CA 95010-1190
(831) 462-7730
(831) 462-7593
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G85157
CA
Other
Enumeration date
02/22/2007
Last updated
12/10/2009
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