Individual
MR. MICHAEL DOUGLAS BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADVANCED EMT
Contact information
Practice address
BLD 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FT. RUCKER, AL 36362
(334) 255-7799
Mailing address
BLD 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FT. RUCKER, AL 36362
(334) 255-7799
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
8834260
AL
146N00000X
Basic Emergency Medical Technician
Primary
E0298474
AL
Other
Enumeration date
02/20/2008
Last updated
04/14/2015
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