MR. Bradley Wayne Dedmon, P.D.

NPI #1497881098 in Spiro, Oklahoma

Provider Information

NPI Number: 1497881098
Entity Type: Individual
Name: MR. Bradley Wayne Dedmon, P.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: P.D.
Enumeration Date: Feb 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 213 W BROADWAY ST
City: Spiro
State: Oklahoma
ZIP Code: 74959-2419
Phone: (918) 962-2131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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