RICKEY LEE BRADLEY

BECKLEY, WV
NPI1700877735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  1741)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: WV  1741)
Enumeration Date2005-10-31
Last Update Date2015-11-06
Business Address
RICKEY LEE BRADLEY D.O.
4130 ROBERT C BYRD DR
BECKLEY, WV 25801-2206
Phone number: 304-252-3900
Mailing Address
RICKEY LEE BRADLEY D.O.
4130 ROBERT C BYRD DR
BECKLEY, WV 25801-2206
Phone number: 304-252-3900