Individual provider · Type 1 NPI

Larry Allan Bradley, PA-C

Medical Physician Assistant · Billings, MT

NPI number 1780194175 Active

Practice location

2800 10th Ave N
Billings, MT 59101-0703

Mailing address

22 Ridge Rd
Roundup, MT 59072-6851

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMED-PAC-LIC-59882 (MT)
Medical Physician Assistant Primary 363AM0700XMED-PAC-LIC-59882 (MT)

Medical Physician Assistant: Definition to come...

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About NPI 1780194175

Larry Allan Bradley, PA-C's National Provider Identifier is 1780194175, issued on Oct 11, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Billings, MT. The record was last updated on Dec 14, 2021.