Individual
DR. SAMUEL LOCKWOOD BRADSHAW, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3707 SW 6TH AVE, TOPEKA, KS 66606-2084
(785) 270-4600
(785) 270-4628
Mailing address
3707 SW 6TH AVE, TOPEKA, KS 66606-2084
(785) 270-4600
(785) 270-4628
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-14850
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057692
INSURANCE BILLING NUMBER
KS
Enumeration date
07/11/2006
Last updated
03/03/2023
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