Bradley Bradshaw, M.D.

NPI #1972747574 in Springfield, Missouri

Provider Information

NPI Number: 1972747574
Entity Type: Individual
Name: Bradley Bradshaw, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Apr 27, 2009
Last Updated: Apr 27, 2009

Practice Location

Address: 1904 S SHADY HILL LN
City: Springfield
State: Missouri
ZIP Code: 65809-2601
Phone: (417) 860-9044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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