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Dr. Bradley Scott Shore, MD
Diagnostic Radiology Physician in Metairie, Louisiana
NPI 1427053347

Bradley Scott Shore is a Diagnostic Radiology Physician based in Eden Prairie, LA and is specialized in Diagnostic Radiology. Bradley Scott Shore practices in Metairie, LA and has the professional credentials of MD. The NPI Number for Bradley Scott Shore is 1427053347 and holds a License No. 022372 (Louisiana).

The current practice location address for Bradley Scott Shore is 4901 Wills St, Metairie, LA and can be reached out via phone at 952-595-1100 and via fax at 952-942-3361. You can also correspond with Bradley Scott Shore through the mailing address at 11995 SINGLETREE LN, EDEN PRAIRIE, MN - 55344-5347 (mailing address contact number: 952-595-1100).

Location: 4901 Wills St, Metairie, LA, 55344-5347
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Provider Profile Details
NPI Number
1427053347
Provider Name
Bradley Scott Shore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4901 Wills St, Metairie, LA, 55344-5347
Phone Number
952-595-1100
Fax Number
952-942-3361
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102090529 05 PA
1948063 05 LA
1481823 05 LA
institution
Provider Business Practice Location Address Details
Address
4901 Wills St
City
State
Zip
70006-1132
Phone Number
952-595-1100
Fax Number
952-942-3361
person
Provider Business Mailing Address Details
Address
11995 Singletree Ln
City
State
Zip
55344-5347
Phone Number
952-595-1100
Fax Number
952-942-3361
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
022372 (Louisiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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