Organization
BRADLEY BIBB MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY BIBB M.D. (OWNER)
(870) 994-7301
Entity
Organization
Contact information
Practice address
201 S BAY DR, BAY, AR 72411
(870) 770-1920
(870) 994-7488
Mailing address
49 HIGHWAY 62 412, ASH FLAT, AR 72513-9594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4136
AR
Other
Enumeration date
12/09/2015
Last updated
02/03/2020
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