Individual provider · Type 1 NPI

Stephen Bradley, PA

Medical Physician Assistant · Prosser, WA

NPI number 1134222011 Active

Practice location

740 Memorial St
Prosser, WA 99350-1525

Fax (509) 786-1997

Mailing address

PO Box 190
Toppenish, WA 98948-0190

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10000296 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1134222011

Stephen Bradley, PA's National Provider Identifier is 1134222011, issued on Sep 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Prosser, WA. The record was last updated on Apr 18, 2008.