Individual
PAUL RICHARD BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
915 4TH ST NW, CHOTEAU, MT 59422-9123
(865) 386-3005
Mailing address
915 4TH ST NW, CHOTEAU, MT 59422-9123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62772
MT
Other
Enumeration date
11/16/2017
Last updated
03/31/2026
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