William W. Bradley, M.d., P.c.

NPI #1619298809 in Centralia, Missouri

Provider Information

NPI Number: 1619298809
Entity Type: Organization
Organization Name: William W. Bradley, M.d., P.c.
Primary Specialty: General Practice
Enumeration Date: Jun 22, 2010
Last Updated: Jun 22, 2010

Practice Location

Address: 120 N ROLLINS ST
City: Centralia
State: Missouri
ZIP Code: 65240-1327
Phone: (573) 682-2101

Authorized Official

Name: DR. WILLIAM W BRADLEY, M.D.
Title: PRESIDENT
Phone: (573) 682-2101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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