Jerri Bradshaw, PA-C

NPI #1609893676 in Ardmore, Oklahoma

Provider Information

NPI Number: 1609893676
Entity Type: Individual
Name: Jerri Bradshaw, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 16, 2006
Last Updated: Mar 22, 2016

Practice Location

Address: 1306 12TH AVE NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1285
Phone: (580) 223-6003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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