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Individual

DR. DOROTHY Y BRADBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
30 13TH ST, HAVRE, MT 59501-5222
(406) 265-2211
(406) 265-1651
Mailing address
PO BOX 1231, HAVRE, MT 59501-1231
(406) 262-1302
(406) 265-1651

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6759
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000641
BCBS ER GROUP
05
0080784
MT
01
930010768
MEDICARE RAILROAD
Enumeration date
02/07/2006
Last updated
07/08/2007
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