BRADLEY SCOTT DESTEFANO

INDIANAPOLIS, IN
NPI1275706384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01069120A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-04-09
Last Update Date2024-12-02
Business Address
BRADLEY SCOTT DESTEFANO MD
1120 SOUTH DR DEPT. OF ANESTHESIA, FESLER HALL, ROOM 204
INDIANAPOLIS, IN 46202-5135
Phone number: 317-274-4343
Mailing Address
BRADLEY SCOTT DESTEFANO MD
7211 ENGLISH BIRCH LN
INDIANAPOLIS, IN 46268-5726
Phone number: 812-606-6655