Bradley Ingram, PAC
NPI #1144290321 in Smithsburg, Maryland
Provider Information
- NPI Number
- 1144290321
- Entity Type
- Individual
- Name
- Bradley Ingram, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Jan 23, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 22911 JEFFERSON BLVD
- City
- Smithsburg
- State
- Maryland
- ZIP Code
- 21783-1617
- Phone
- (301) 824-3343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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