Organization
TONDA D BRADSHAW D O A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONDA D BRADSHAW D.O. (PRESIDENT)
(909) 790-6200
Entity
Organization
Contact information
Practice address
35237 YUCAIPA BLVD, YUCAIPA, CA 92399-4340
(909) 790-6200
(909) 790-6220
Mailing address
35237 YUCAIPA BLVD, YUCAIPA, CA 92399-4340
(909) 790-6200
(909) 790-6220
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
02/22/2019
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