Individual
BRADLEY A FOSS
Active
Individual
BRADLEY A FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N32421
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA747
ID
Other
Enumeration date
02/27/2009
Last updated
04/07/2011
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