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Brad Bromwell, SA-C

Specialist/Technologist, Other, Surgical Assistant in Olney, MD. Individual provider (NPI-1).

NPI number1164159752
StatusActive
Last updated in NPPESAug 3, 2022

Details

NPI
1164159752
Entity type
Individual (NPI-1)
Name
Brad Bromwell
Credential
SA-C
Sex
Male
Sole proprietor
No
Enumeration date
Aug 3, 2022
Certification date
Jul 26, 2022
Last updated
Aug 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant181566MDYes

Practice location

1740 Shotley Bridge Place
Olney, MD 20832-1734

Phone 301-363-4934

Mailing address

3470 Olney Laytonsville Rd Ste 182
Olney, MD 20832-1734

Phone 301-363-4934

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