BRADLEY A WALLACE

JACKSONVILLE, FL
NPI1134160161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: FL  ME91779)
Enumeration Date2006-06-09
Last Update Date2025-08-07
Business Address
Dr. BRADLEY A WALLACE MD
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207-8340
Phone number: 904-388-6518
Mailing Address
Dr. BRADLEY A WALLACE MD
PO BOX 746647
ATLANTA, GA 30374-6647
Phone number: 904-202-2092
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