Mark Bradshaw Md Pc | |
1208 Beall Ln Central Point OR 97502-1573 | |
(541) 664-5151 | |
(877) 772-9433 |
Full Name | Mark Bradshaw Md Pc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1208 Beall Ln, Central Point, Oregon |
Authorized Official Name and Position | Mark A Bradshaw (PRESIDENT) |
Authorized Official Contact | 5414822175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark Bradshaw Md Pc 238 E Main St Suite B Ashland OR 97520-1831 Ph: (541) 482-2175 | Mark Bradshaw Md Pc 1208 Beall Ln Central Point OR 97502-1573 Ph: (541) 664-5151 |
NPI Number | 1609189398 |
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Provider Enumeration Date | 07/22/2010 |
Last Update Date | 07/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609189398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD24707 (Oregon) | Primary |
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