Individual
DAVID A BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 JASMINE ST, OMAK, WA 98841-9589
(509) 826-1600
(509) 826-3633
Mailing address
PO BOX 3188, OMAK, WA 98841-3188
(509) 826-1600
(509) 826-3617
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00026073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0223469
L&I
WA
Enumeration date
06/30/2006
Last updated
06/18/2013
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