MR. Bradley Robert Dispense, PA-C

NPI #1356633218 in Jber, Alaska

Provider Information

NPI Number: 1356633218
Entity Type: Individual
Name: MR. Bradley Robert Dispense, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 11, 2011
Last Updated: May 25, 2016

Practice Location

Address: 673D MDG
Address 2: 5955 ZEAMER AVENUE
City: Jber
State: Alaska
ZIP Code: 99506
Phone: (907) 580-2376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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