BENJAMIN BRADLEY

OKMULGEE, OK
NPI1730518788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  67001)
Enumeration Date2013-11-09
Last Update Date2018-03-17
Business Address
BENJAMIN BRADLEY CNP
109 W 6TH ST
OKMULGEE, OK 74447-5015
Phone number: 918-779-0709
Mailing Address
BENJAMIN BRADLEY CNP
109 W 6TH ST
OKMULGEE, OK 74447-5015
Phone number: 918-779-0709