BRADLEY ALLEN IRVIN

MORRISTOWN, TN
NPI1629584917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  3029)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2017-12-21
Last Update Date2023-06-14
Business Address
BRADLEY ALLEN IRVIN
4185 WILLOW WAY
MORRISTOWN, TN 37814-1611
Phone number: 423-248-4972
Mailing Address
BRADLEY ALLEN IRVIN
4185 WILLOW WAY
MORRISTOWN, TN 37814-1611
Phone number:
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