| William W. Bradley, M.d., P.c. | |
|
120 N Rollins St Centralia MO 65240-1327 | |
| (573) 682-2101 | |
| (573) 682-2496 |
| Full Name | William W. Bradley, M.d., P.c. |
|---|---|
| Speciality | General Practice |
| Location | 120 N Rollins St, Centralia, Missouri |
| Authorized Official Name and Position | William W Bradley (PRESIDENT) |
| Authorized Official Contact | 5736822101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William W. Bradley, M.d., P.c. 120 N Rollins St Centralia MO 65240-1327 Ph: (573) 682-2101 | William W. Bradley, M.d., P.c. 120 N Rollins St Centralia MO 65240-1327 Ph: (573) 682-2101 |
| NPI Number | 1619298809 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619298809 | NPI | - | NPPES |
| 200178903 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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