Bradford R Egly, DPM

NPI #1528174489 in Dwight, Illinois

Provider Information

NPI Number: 1528174489
Entity Type: Individual
Name: Bradford R Egly, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Aug 22, 2006
Last Updated: Apr 21, 2010

Practice Location

Address: 108 W MAIN ST
City: Dwight
State: Illinois
ZIP Code: 60420
Phone: (815) 584-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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