institution
Bradley W. Buckrop Dpm
Foot Surgery Podiatrist in Rock Island, Illinois
NPI 1205071149

Bradley W. Buckrop Dpm is a Foot Surgery Podiatrist based in Rock Island, IL and is specialized in Foot Surgery. Bradley W. Buckrop Dpm practices in Rock Island, IL. The NPI Number for Bradley W. Buckrop Dpm is 1205071149 and holds a License No. 01600458 (Illinois).

The current practice location address for Bradley W. Buckrop Dpm is 3727 46Th Ave, Rock Island, IL and can be reached out via phone at 309-788-3668 and via fax at 309-786-5168.

Location: 3727 46Th Ave, Rock Island, IL, 61201-7078
institution
Provider Profile Details
NPI Number
1205071149
Provider Name
Bradley W. Buckrop Dpm
Credential
Provider Entity Type
Organization
Address
3727 46Th Ave, Rock Island, IL, 61201-7078
Phone Number
309-788-3668
Fax Number
309-786-5168
Provider Enumeration Date
12/05/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8182069 01 IL BLUE CROSS BLUE SHILD
016004658 05 IL
institution
Provider Business Practice Location Address Details
Address
3727 46Th Ave
City
State
Zip
61201-7078
Phone Number
309-788-3668
Fax Number
309-786-5168
person
Provider Business Mailing Address Details
Address
3727 46Th Ave
City
State
Zip
61201-7078
Phone Number
309-788-3668
Fax Number
309-786-5168
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
00545 (Iowa)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
01600458 (Illinois)
Definition
Definition to come...
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