person
Bradley Ingram, PAC
Medical Physician Assistant in Smithsburg, Maryland
NPI 1144290321

Bradley Ingram is a Medical Physician Assistant based in Hagerstown, MD and is specialized in Medical. Bradley Ingram practices in Smithsburg, MD and has the professional credentials of PAC. The NPI Number for Bradley Ingram is 1144290321 and holds a License No. 0110001879 (Maryland).

The current practice location address for Bradley Ingram is 22911 Jefferson Blvd, Smithsburg, MD and can be reached out via phone at 301-824-3343 and via fax at 301-824-6323. You can also correspond with Bradley Ingram through the mailing address at 11110 MEDICAL CAMPUS RD, HAGERSTOWN, MD - 21742-6700 (mailing address contact number: 301-665-4526).

Location: 22911 Jefferson Blvd, Smithsburg, MD, 21742-6700
person
Provider Profile Details
NPI Number
1144290321
Provider Name
Bradley Ingram
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
22911 Jefferson Blvd, Smithsburg, MD, 21742-6700
Phone Number
301-824-3343
Fax Number
301-824-6323
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
22911 Jefferson Blvd
City
State
Zip
21783-1617
Phone Number
301-824-3343
Fax Number
301-824-6323
person
Provider Business Mailing Address Details
Address
11110 Medical Campus Rd
City
State
Zip
21742-6700
Phone Number
301-665-4526
Fax Number
301-665-4521
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110001879 (Virginia)
Definition
Definition to come...
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