Organization
EXIGENCE OF BRADFORD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G HOLTZCLAW (OWNER)
(856) 686-4317
Entity
Organization
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(716) 204-4500
Mailing address
1 JOHN JAMES AUDUBON PKWY, AMHERST, NY 14228-1143
(716) 204-4500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NY
Other
Enumeration date
10/21/2008
Last updated
05/18/2012
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