Individual
LUCAS BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 BUTTERCUP DR STE A, MOUNTAIN HOME, AR 72653-2932
(870) 508-7080
Mailing address
310 BUTTERCUP DRIVE, SUITE A, MOUNTAIN HOME, AR 72653
(870) 508-7080
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E-10298
AR
208600000X
Surgery Physician
E-10298
AR
Other
Enumeration date
06/25/2010
Last updated
05/12/2021
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