Individual
DR. BRADLEY S SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1225 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6003
(573) 635-8000
(573) 556-1710
Mailing address
1225 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6003
(573) 635-8000
(573) 556-1710
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MO108684
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780789032
—
MO
05
—
249990573
—
MO
Enumeration date
09/13/2006
Last updated
04/29/2016
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