Dr. Jeffrey D Bradley, MD
in Saint Louis, MO. Individual provider (NPI-1).
NPI number1699793232
StatusActive
Last updated in NPPESJan 24, 2018
Details
- NPI
- 1699793232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey D Bradley
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- Jan 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 115804 | MO | Yes |
Practice location
4921 Parkview PlLl
Saint Louis, MO 63110-1032
Phone 314-454-7236 · Fax 314-362-7769
Mailing address
660 S Euclid AveC B 8224
Saint Louis, MO 63110-1010
Phone 314-454-7236 · Fax 314-362-7769
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