Nicolas Bradley, PA-C

NPI #1992027940 in Wasilla, Alaska

Provider Information

NPI Number: 1992027940
Entity Type: Individual
Name: Nicolas Bradley, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 18, 2010
Last Updated: May 11, 2022

Practice Location

Address: 1301 W PARKS HWY STE 101
City: Wasilla
State: Alaska
ZIP Code: 99654-6939
Phone: (073) 577-7819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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