Bradley D Wiley, MD

NPI #1013950070 in Springfield, Missouri

Provider Information

NPI Number: 1013950070
Entity Type: Individual
Name: Bradley D Wiley, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 14, 2006
Last Updated: Jul 5, 2012

Practice Location

Address: 1001 E PRIMROSE ST
City: Springfield
State: Missouri
ZIP Code: 65807-5155
Phone: (417) 875-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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