BODEN BRADLEY

ROSEVILLE, CA
NPI1699229112
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  56390)
Enumeration Date2016-08-12
Last Update Date2021-06-15
Business Address
BODEN BRADLEY PA-C
3005 DOUGLAS BLVD STE 105
ROSEVILLE, CA 95661-3885
Phone number: 916-742-7718
Mailing Address
BODEN BRADLEY PA-C
3005 DOUGLAS BLVD STE 105
ROSEVILLE, CA 95661-3885
Phone number: 916-742-7718