BODEN E BRADLEY

BANNER URGENT CARE SERVICES LLC

Dr BODEN E BRADLEY is a male medical professional, specializing in Physician Assistant. He graduated in 2016.

Contact

BANNER URGENT CARE SERVICES LLC

40773 N IRONWOOD DR
SAN TAN VALLEY
AZ
851407002

Tel: 4808275760

BODEN E BRADLEY Information

Npi 1699229112
Pac Id 2062790728
Professional Enrollment Id I20161031002281
Last Name BRADLEY
First Name BODEN
Middle Name E
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BANNER URGENT CARE SERVICES LLC
Group Practice Pac Id 4284921610
Number Of Group Practice Members 182
Line 1 Street Address 40773 N IRONWOOD DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAN TAN VALLEY
State AZ
Zip Code 851407002
Phone Number 4808275760
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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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