Individual
JEFFREY SHANE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-8400
(417) 347-5818
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2006013527
MO
Other
Enumeration date
08/31/2006
Last updated
05/01/2026
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