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Individual

MR. BRADLEY DEAN OTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RT(R)

Contact information

Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(907) 543-0601
Mailing address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(907) 543-0601

Taxonomy

Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary

Other

Enumeration date
05/10/2007
Last updated
11/15/2007
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