Organization · Type 2 NPI

Bradley Shore, Md, LLC

Diagnostic Radiology Physician · Jennings, LA

NPI number 1083962021 Active

About NPI 1083962021

Bradley Shore, Md, LLC's National Provider Identifier is 1083962021, issued on Aug 23, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jennings, LA. The record was last updated on Aug 23, 2012.