Individual
DR. ALVIN J. BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2900 S TELEPHONE RD STE 250, MOORE, OK 73160-2969
(215) 840-2658
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 840-2658
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS10692
FL
207Q00000X
Family Medicine Physician
OS012606
PA
Other
Enumeration date
06/24/2006
Last updated
04/22/2015
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