MR. Bradley Anthony Qualizza, PA

NPI #1962996637 in Valparaiso, Indiana

Provider Information

NPI Number: 1962996637
Entity Type: Individual
Name: MR. Bradley Anthony Qualizza, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 18, 2018
Last Updated: Sep 28, 2018

Practice Location

Address: 85 E US HIGHWAY 6
City: Valparaiso
State: Indiana
ZIP Code: 46383-8947
Phone: (219) 983-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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