Dr EDWARD W BRADSHAW III PA is a male medical professional, specializing in Physician Assistant. He graduated in 1979.
PANACEA BRAIN AND SPINE LLC
297 LAKE HAVASU AVE S
SUITE 204
LAKE HAVASU CITY
AZ
864036526
Tel: 9284532211
| Npi | 1235192774 |
| Pac Id | 3678540671 |
| Professional Enrollment Id | I20150909000969 |
| Last Name | BRADSHAW |
| First Name | EDWARD |
| Middle Name | W |
| Suffix | III |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1979 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PANACEA BRAIN AND SPINE LLC |
| Group Practice Pac Id | 0648423525 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 297 LAKE HAVASU AVE S |
| Line 2 Street Address | SUITE 204 |
| Marker Of Address Line 2 Suppression | |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 864036526 |
| Phone Number | 9284532211 |
| Hospital Affiliation Ccn 1 | 030069 |
| Hospital Affiliation Lbn 1 | HAVASU REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 030055 |
| Hospital Affiliation Lbn 2 | KINGMAN REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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