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Individual

BRUCE A BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
118 NATURE PARK RD, SUITE 300, GREENSBURG, PA 15601-6960
(724) 836-5540
(724) 836-5548
Mailing address
118 NATURE PARK RD, SUITE 300, GREENSBURG, PA 15601-6960
(724) 836-5540
(724) 836-5548

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS006954L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001461835
PA
01
10923530
CAQH
Enumeration date
12/09/2005
Last updated
12/01/2020
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