NPI | 1407960271 |
---|---|
Doing Business As | BRADLEY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL G PATRONIS Chief Executive Officer 318-539-1001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2006-08-18 |
Last Update Date | 2021-05-19 |