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1730145269
BRADLEY A PETERSON
URBANA, IL
NPI
1730145269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036109503)
Enumeration Date
2006-04-24
Last Update Date
2014-05-08
Business Address
Dr. BRADLEY A PETERSON MD
611 W. PARK STREET EMERGENCY MEDICINE
URBANA, IL 61801
Phone number: 217-383-3313
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Mailing Address
Dr. BRADLEY A PETERSON MD
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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