BRADLEY SHORE, MD, LLC

JENNINGS, LA
NPI1083962021
Entity TypeOrganization
Authorized ContactBRADLEY S SHORE
Owner
504-905-2728
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
Enumeration Date2012-08-23
Last Update Date2012-08-23
Business Address
BRADLEY SHORE, MD, LLC
107 E SHANKLAND AVE
JENNINGS, LA 70546-4709
Phone number: 866-546-6643
Mailing Address
BRADLEY SHORE, MD, LLC
107 E SHANKLAND AVE
JENNINGS, LA 70546-4709
Phone number: 866-546-6643
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