| NPI | 1497052104 |
|---|---|
| Doing Business As | BRADFORD FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES ROSS Interim President And CEO 731-541-6730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2016-04-29 |