Individual
DR. BRADLEY TODD KOVACH
Active
Individual
DR. BRADLEY TODD KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2006012910
MO
207N00000X
Dermatology Physician
Primary
ME98276
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME98276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208189
MO-BLUE SHIELD
—
Enumeration date
07/25/2006
Last updated
10/06/2020
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