BRADLEY WAYNE MONGOLD

MARTINSBURG, WV
NPI1215010863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NV  21986)
Enumeration Date2006-10-24
Last Update Date2010-03-29
Business Address
-- BRADLEY WAYNE MONGOLD MD
2500 HOSPITAL DRIVE
MARTINSBURG, WV 25401
Phone number: 304-264-1000
Mailing Address
-- BRADLEY WAYNE MONGOLD MD
PO BOX 1150
MARTINSBURG, WV 25402-1150
Phone number: 304-264-1000
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