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Mr. Shayne D Bradford, PA-C
Surgical Physician Assistant in Towson, Maryland
NPI 1841251386

Shayne D Bradford is a Surgical Physician Assistant based in Owings Mills, MD and is specialized in Surgical. Shayne D Bradford practices in Towson, MD and has the professional credentials of PA-C. The NPI Number for Shayne D Bradford is 1841251386 and holds a License No. C0001923 (Maryland).

The current practice location address for Shayne D Bradford is 7505 Osler Dr, Towson, MD and can be reached out via phone at 410-581-1600. You can also correspond with Shayne D Bradford through the mailing address at 25 CROSSROADS DR, OWINGS MILLS, MD - 21117-5421 (mailing address contact number: 443-738-2872).

Location: 7505 Osler Dr, Towson, MD, 21117-5421
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Provider Profile Details
NPI Number
1841251386
Provider Name
Shayne D Bradford
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
7505 Osler Dr, Towson, MD, 21117-5421
Phone Number
410-581-1600
Fax Number
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CN6601 01 MD R/R MEDICARE GROUP #
970005969 01 MD R/R MEDICARE PROVIDER #
institution
Provider Business Practice Location Address Details
Address
7505 Osler Dr
City
State
Zip
21204-7736
Phone Number
410-581-1600
Fax Number
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Provider Business Mailing Address Details
Address
25 Crossroads Dr
City
State
Zip
21117-5421
Phone Number
443-738-2872
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
C0001923 (Maryland)
Definition
Definition to come...
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