JOHN EDWARD BRADFORD

ANCHORAGE, AK
NPI1720004740
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  PA732)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MT  25769)
363A00000X Physician Assistant
(Licence: AK  PADA1193)
Enumeration Date2006-07-14
Last Update Date2023-01-04
Business Address
JOHN EDWARD BRADFORD PA-C
701 TUDOR DR STE 110
ANCHORAGE, AK 99503
Phone number: 907-685-1420
Mailing Address
JOHN EDWARD BRADFORD PA-C
PO BOX 58
YELLOWSTONE NATIONAL PARK, WY 82190-0058
Phone number: 307-344-7965