Individual
TABETHA HALE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
503 E HIGHLAND AVE, CHELAN, WA 98816-8631
(509) 682-8517
(509) 682-9614
Mailing address
503 E HIGHLAND AVE, CHELAN, WA 98816-8631
(509) 682-8517
(509) 682-9614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60274491
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020730
—
WA
Enumeration date
06/08/2007
Last updated
01/07/2016
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