Individual
BRADLEY FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
24 S WEBER ST, COLORADO SPRINGS, CO 80903-1929
(518) 423-0183
Mailing address
24 S WEBER ST, COLORADO SPRINGS, CO 80903-1929
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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