person
Stephen Bradley, PA
Medical Physician Assistant in Prosser, Washington
NPI 1134222011

Stephen Bradley is a Medical Physician Assistant based in Toppenish, WA and is specialized in Medical. Stephen Bradley practices in Prosser, WA and has the professional credentials of PA. The NPI Number for Stephen Bradley is 1134222011 and holds a License No. PA10000296 (Washington).

The current practice location address for Stephen Bradley is 740 Memorial St, Prosser, WA and can be reached out via phone at 509-786-1931 and via fax at 509-786-1997.

Location: 740 Memorial St, Prosser, WA, 98948-0190
person
Provider Profile Details
NPI Number
1134222011
Provider Name
Stephen Bradley
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
740 Memorial St, Prosser, WA, 98948-0190
Phone Number
509-786-1931
Fax Number
509-786-1997
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142805 01 WA L & I
4750BR 01 WA REGENCE
8296097 05 WA
1306897681 01 NPI PROSSER MEMORIAL
6972 01 GROUP HEALTH
8296097 01 WA CHPW
institution
Provider Business Practice Location Address Details
Address
740 Memorial St
City
State
Zip
99350-1525
Phone Number
509-786-1931
Fax Number
509-786-1997
person
Provider Business Mailing Address Details
Address
740 Memorial St
City
State
Zip
99350-1525
Phone Number
509-786-1931
Fax Number
509-786-1997
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10000296 (Washington)
Definition
Definition to come...
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