| Bradley Houston M.d. | |
|
605 E Main St Olney IL 62450-2163 | |
| (618) 392-2940 | |
| (618) 392-7225 |
| Full Name | Bradley Houston M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 605 E Main St, Olney, Illinois |
| Authorized Official Name and Position | Debbi Houston (OFFICE MANAGER) |
| Authorized Official Contact | 6183922940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Houston M.d. 605 E Main St Olney IL 62450-2163 Ph: (618) 392-2940 | Bradley Houston M.d. 605 E Main St Olney IL 62450-2163 Ph: (618) 392-2940 |
| NPI Number | 1295909604 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295909604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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