Individual
BRADLEY DONALD TOURTLOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3663 ARCH RD, SUITE 400, STOCKTON, CA 95215-8315
(209) 943-2202
(209) 943-2209
Mailing address
7020 BURNING TREE CT, RIVERBANK, CA 95367-3328
(209) 613-9669
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G-076763
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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