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1568404598
BRADLEY MARK SHORT
FORT SMITH, AR
NPI
1568404598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AR C7559)
Enumeration Date
2006-06-12
Last Update Date
2010-12-01
Business Address
DR. BRADLEY MARK SHORT D.O.
3905 BROOKEN HILL DR
FORT SMITH, AR 72908-9282
Phone number: 479-646-3345
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Mailing Address
DR. BRADLEY MARK SHORT D.O.
3905 BROOKEN HILL DR
FORT SMITH, AR 72908-9282
Phone number: 479-646-3345
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