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Dr. Bradley St John, MD
Student in an Organized Health Care Education/Training Program in Galveston, Texas
NPI 1659935047

Bradley St John is a Student in an Organized Health Care Education/Training Program based in Galveston, TX. Bradley St John practices in Galveston, TX and has the professional credentials of MD. The NPI Number for Bradley St John is 1659935047 and holds a License No. BP10074399 (Texas).

The current practice location address for Bradley St John is Utmb Gme C/O E Gugliuzza 301 University Blvd 5.138 Rs, Galveston, TX and can be reached out via phone at 409-772-0764.

Location: Utmb Gme C/O E Gugliuzza 301 University Blvd 5.138 Rs, Galveston, TX, 77555-0877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659935047
Provider Name
Bradley St John
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Utmb Gme C/O E Gugliuzza 301 University Blvd 5.138 Rs, Galveston, TX, 77555-0877
Phone Number
409-772-0764
Fax Number
Provider Enumeration Date
05/01/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BP10074399 01 TX PHYSICIAN IN TRAINING PERMIT
institution
Provider Business Practice Location Address Details
Address
Utmb Gme C/O E Gugliuzza 301 University Blvd 5.138 Rs
City
Galveston
State
Texas
Zip
77555-3438
Phone Number
409-772-0764
Fax Number
person
Provider Business Mailing Address Details
Address
Utmb Gme C/O E Gugliuzza 301 University Blvd 5.138 Rs
City
Galveston
State
Texas
Zip
77555-3438
Phone Number
409-772-0764
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10074399 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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