Individual
BRADLEY WEVODAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP-BC
Contact information
Practice address
30 HOPE DR. B, SUITE 2200, HERSHEY, PA 17033
(717) 531-7123
Mailing address
PO BOX 858, MC CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
SP026510
PA
Other
Enumeration date
12/12/2022
Last updated
01/11/2023
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