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Mark W Bradford Md Inc Ps
Clinic/Center in Olympia, Washington
NPI 1619241346

Mark W Bradford Md Inc Ps is a Clinic/Center based in Olympia, WA. Mark W Bradford Md Inc Ps practices in Olympia, WA. The NPI Number for Mark W Bradford Md Inc Ps is 1619241346 and holds a License No. MD0019897 (Washington).

The current practice location address for Mark W Bradford Md Inc Ps is 3624 Ensign Rd Ne Ste D, Olympia, WA and can be reached out via phone at 360-459-7713 and via fax at 360-459-5441.

Location: 3624 Ensign Rd Ne Ste D, Olympia, WA, 98506-5074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619241346
Provider Name
Mark W Bradford Md Inc Ps
Credential
Provider Entity Type
Organization
Address
3624 Ensign Rd Ne Ste D, Olympia, WA, 98506-5074
Phone Number
360-459-7713
Fax Number
360-459-5441
Provider Enumeration Date
02/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3624 Ensign Rd Ne Ste D
City
Olympia
State
Washington
Zip
98506-5074
Phone Number
360-459-7713
Fax Number
360-459-5441
person
Provider Business Mailing Address Details
Address
3624 Ensign Rd Ne Ste D
City
Olympia
State
Washington
Zip
98506-5074
Phone Number
360-459-7713
Fax Number
360-459-5441
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
MD0019897 (Washington)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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