Individual
MR. JAMES CANNON BRADFORD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2601 E. ROOSEVELT STREET, MARICOPA INTEGRATED HEALTH SYSTEM, PHOENIX, AZ 85008
(602) 344-5011
Mailing address
4229 N 5TH AVE, PHOENIX, AZ 85013-3038
(623) 293-2387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN140572
AZ
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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