Organization
JOHN K. BRADWAY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K. BRADWAY MD (OWNER)
(480) 860-6005
Entity
Organization
Contact information
Practice address
10213 N 92ND ST, SUITE 101, SCOTTSDALE, AZ 85258-4561
(480) 860-6005
(480) 860-1882
Mailing address
10213 N 92ND ST, SUITE 101, SCOTTSDALE, AZ 85258-4561
(480) 860-6005
(480) 860-1882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17615
AZ
363AS0400X
Surgical Physician Assistant
2150
AZ
Other
Enumeration date
12/07/2007
Last updated
06/17/2008
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