Dr NICOLAS BRADLEY is a male medical professional, specializing in Physician Assistant. He graduated in 2010.
MAT-SU VALLEY III LLC
209 W EVERGREEN AVE
PALMER
AK
996456952
Tel: 9078611400
| Npi | 1992027940 |
| Pac Id | 0143512640 |
| Professional Enrollment Id | I20181108001135 |
| Last Name | BRADLEY |
| First Name | NICOLAS |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | MAT-SU VALLEY III LLC |
| Group Practice Pac Id | 5496941502 |
| Number Of Group Practice Members | 19 |
| Line 1 Street Address | 209 W EVERGREEN AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PALMER |
| State | AK |
| Zip Code | 996456952 |
| Phone Number | 9078611400 |
| Hospital Affiliation Ccn 1 | 020006 |
| Hospital Affiliation Lbn 1 | MAT-SU REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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