Individual
DR. MARK BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
507 SHELBURNE RD, BURLINGTON, VT 05401-5008
(802) 864-5150
(802) 860-0668
Mailing address
507 SHELBURNE RD, BURLINGTON, VT 05401-5008
(802) 864-5150
(802) 860-0668
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
816
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5962
BCBSVT
VT
Enumeration date
11/10/2006
Last updated
10/23/2014
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