Bradford Place Surgery and Laser Center, LLC
NPI #1588667208 in Springfield, Missouri
Provider Information
- NPI Number
- 1588667208
- Entity Type
- Organization
- Organization Name
- Bradford Place Surgery and Laser Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 27, 2005
- Last Updated
- Oct 31, 2025
Practice Location
- Address
- 1531 E BRADFORD PARKWAY STE 120
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65804-6539
- Phone
- (417) 886-3900
Authorized Official
- Name
- JENNIFER L WYNN
- Title
- CREDENTIALING
- Phone
- (417) 823-2838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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