person
Dr. Jesse H. Bradley JR., DPM
Foot & Ankle Surgery Podiatrist in West Memphis, Arkansas
NPI 1114160389

Jesse H. Bradley JR. is a Foot & Ankle Surgery Podiatrist based in West Memphis, AR and is specialized in Foot & Ankle Surgery. Jesse H. Bradley JR. practices in West Memphis, AR and has the professional credentials of DPM. The NPI Number for Jesse H. Bradley JR. is 1114160389 and holds a License No. 80197 (Arkansas).

The current practice location address for Jesse H. Bradley JR. is 116 W Tyler Ave, West Memphis, AR and can be reached out via phone at 870-733-0888 and via fax at 870-733-0889. You can also correspond with Jesse H. Bradley JR. through the mailing address at PO BOX 1752, WEST MEMPHIS, AR - 72303-1752 (mailing address contact number: 870-733-0888).

Location: 116 W Tyler Ave, West Memphis, AR, 72303-1752
person
Provider Profile Details
NPI Number
1114160389
Provider Name
Jesse H. Bradley JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
116 W Tyler Ave, West Memphis, AR, 72303-1752
Phone Number
870-733-0888
Fax Number
870-733-0889
Provider Enumeration Date
04/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180372748 05 AR
199945716 05 AR
180310717 05 AR
institution
Provider Business Practice Location Address Details
Address
116 W Tyler Ave
City
State
Zip
72301-4221
Phone Number
870-733-0888
Fax Number
870-733-0889
person
Provider Business Mailing Address Details
Address
Po Box 1752
City
State
Zip
72303-1752
Phone Number
870-733-0888
Fax Number
870-733-0889
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
80197 (Mississippi)
Definition
Definition to come...
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