Individual provider · Type 1 NPI
Marcy Bradley, PA
Medical Physician Assistant · Georgetown, DE
NPI number
1154460400
Active
Practice location
26026 Patriots Way
Georgetown, DE 19947-2584
Fax (302) 934-5965
Mailing address
400 Savannah Rd, Suite B
Lewes, DE 19958-1499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C50000199 (DE) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
About NPI 1154460400
Marcy Bradley, PA's National Provider Identifier is 1154460400, issued on Feb 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Georgetown, DE. The record was last updated on Jul 8, 2007.