Individual
BRADLEY HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
RR 5 BOX 20, GRUNDY, VA 24614-9611
(276) 935-1129
(276) 935-1538
Mailing address
RR 5 BOX 20, GRUNDY, VA 24614-9611
(276) 935-1129
(276) 935-1538
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
0001147269
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001717382
MTN STATE BCBS
WV
01
—
2602581000
WV MCAD
WV
05
—
8939438
—
VA
Enumeration date
07/29/2005
Last updated
07/09/2007
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