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1043500804
BRADLEY FOGEL
LITTLE ROCK, AR
NPI
1043500804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: AR E-9043)
Enumeration Date
2011-04-13
Last Update Date
2015-07-10
Business Address
-- BRADLEY FOGEL D.O.
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
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Mailing Address
-- BRADLEY FOGEL D.O.
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
Copy
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