| 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 |