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NICHOLAS COREN BRADBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Mailing address
PO BOX 2698, BISMARCK, ND 58502-2698
(701) 530-7500
(701) 530-7484

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MT193226
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
13303
ND
2085R0204X
Vascular & Interventional Radiology Physician
8614430-1205
UT

Other

Enumeration date
03/16/2010
Last updated
08/06/2014
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