Individual
MS. ALLISON LYNN BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
221 3RD ST W, BUILDING 1040, RANDOLPH AFB, TX 78150-4800
(701) 723-5199
Mailing address
73 MAIN CIR STE 1, RANDOLPH AFB, TX 78150-4543
(701) 721-1500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1068209
ND
Other
Enumeration date
12/05/2005
Last updated
03/04/2013
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