Individual provider · Type 1 NPI

Bradley Ophoff

Medical Physician Assistant · Fort Wayne, IN

NPI number 1275142986 Active

Practice location

1819 Carew St
Fort Wayne, IN 46805-4705

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1275142986

Bradley Ophoff's National Provider Identifier is 1275142986, issued on Jul 28, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 28, 2020.