| Bradford G Carper Sr Do Pc | |
|
511 Burkarth Rd Warrensburg MO 64093-3103 | |
| (660) 747-8154 | |
| (660) 747-9757 |
| Full Name | Bradford G Carper Sr Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 511 Burkarth Rd, Warrensburg, Missouri |
| Authorized Official Name and Position | Bradford G Carper (PRESIDENT) |
| Authorized Official Contact | 6607478154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford G Carper Sr Do Pc 511 Burkarth Rd Warrensburg MO 64093-3103 Ph: (660) 747-8154 | Bradford G Carper Sr Do Pc 511 Burkarth Rd Warrensburg MO 64093-3103 Ph: (660) 747-8154 |
| NPI Number | 1265693766 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 12/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265693766 | NPI | - | NPPES |
| MA1120 | Other | MEDICARE PTAN # | |
| 242015618 | Medicaid | MO | |
| DN5221 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R2E05 (Missouri) | Primary |
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