Organization
WILLIAM S BRADFORD MD PA
Active
Other names
William S Bradford MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S BRADFORD MD (OWNER)
(336) 349-4024
Entity
Organization
Contact information
Practice address
617 S MAIN ST, REIDSVILLE, NC 27320-5019
(336) 349-4024
(336) 349-6904
Mailing address
PO BOX 150, REIDSVILLE, NC 27323-0150
(336) 349-4024
(336) 349-6904
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7917408
—
NC
Enumeration date
03/19/2008
Last updated
05/17/2010
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