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Individual

DR. PATRICK D BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3800 ELECTRIC RD STE 101, ROANOKE, VA 24018-4549
(540) 299-8512
(540) 299-8538
Mailing address
3800 ELECTRIC RD STE 101, ROANOKE, VA 24018-4549
(402) 998-5125
(540) 299-8538

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101255677
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780909291
VA
Enumeration date
03/29/2010
Last updated
04/03/2023
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