NPI | 1710107701 |
---|---|
Professional Name | J D BRADFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 001148) |
Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: MI 001148) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 001148) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2022-05-12 |