MARK W BRADFORD MD INC PS

OLYMPIA, WA
NPI1619241346
Entity TypeOrganization
Authorized ContactMARK WAYNE BRADFORD
President
360-459-7713
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: WA  MD0019897)
Enumeration Date2012-02-27
Last Update Date2012-02-27
Business Address
MARK W BRADFORD MD INC PS
3624 ENSIGN RD NE STE D
OLYMPIA, WA 98506-5074
Phone number: 360-459-7713
Mailing Address
MARK W BRADFORD MD INC PS
3624 ENSIGN RD NE STE D
OLYMPIA, WA 98506-5074
Phone number: 360-459-7713
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