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William W. Bradley, M.d., P.c.
General Practice Physician in Centralia, Missouri
NPI 1619298809

William W. Bradley, M.d., P.c. is a General Practice Physician based in Centralia, MO. William W. Bradley, M.d., P.c. practices in Centralia, MO. The NPI Number for William W. Bradley, M.d., P.c. is 1619298809 and holds a License No. (Missouri).

The current practice location address for William W. Bradley, M.d., P.c. is 120 N Rollins St, Centralia, MO and can be reached out via phone at 573-682-2101 and via fax at 573-682-2496.

Location: 120 N Rollins St, Centralia, MO, 65240-1327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619298809
Provider Name
William W. Bradley, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
120 N Rollins St, Centralia, MO, 65240-1327
Phone Number
573-682-2101
Fax Number
573-682-2496
Provider Enumeration Date
06/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200178903 05 MO
institution
Provider Business Practice Location Address Details
Address
120 N Rollins St
City
Centralia
State
Missouri
Zip
65240-1327
Phone Number
573-682-2101
Fax Number
573-682-2496
person
Provider Business Mailing Address Details
Address
120 N Rollins St
City
Centralia
State
Missouri
Zip
65240-1327
Phone Number
573-682-2101
Fax Number
573-682-2496
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
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Definition
Definition to come...
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