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Bradley Shore, Md, Llc
Diagnostic Radiology Physician in Jennings, Louisiana
NPI 1083962021

Bradley Shore, Md, Llc is a Diagnostic Radiology Physician based in Jennings, LA and is specialized in Diagnostic Radiology. Bradley Shore, Md, Llc practices in Jennings, LA. The NPI Number for Bradley Shore, Md, Llc is 1083962021 and holds a License No. (Louisiana).

The current practice location address for Bradley Shore, Md, Llc is 107 E Shankland Ave, Jennings, LA and can be reached out via phone at 866-546-6643 and via fax at 337-824-4199.

Location: 107 E Shankland Ave, Jennings, LA, 70546-4709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083962021
Provider Name
Bradley Shore, Md, Llc
Credential
Provider Entity Type
Organization
Address
107 E Shankland Ave, Jennings, LA, 70546-4709
Phone Number
866-546-6643
Fax Number
337-824-4199
Provider Enumeration Date
08/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
107 E Shankland Ave
City
Jennings
State
Louisiana
Zip
70546-4709
Phone Number
866-546-6643
Fax Number
337-824-4199
person
Provider Business Mailing Address Details
Address
107 E Shankland Ave
City
Jennings
State
Louisiana
Zip
70546-4709
Phone Number
866-546-6643
Fax Number
337-824-4199
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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