BRADLEY WIERDA

ROGERS, AR
NPI1770560518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  C02770)
Enumeration Date2005-12-22
Last Update Date2021-06-18
Business Address
MR. BRADLEY WIERDA CRNA
2710 RIFE MEDICAL LANE ANESTHESIA DEPT
ROGERS, AR 72758-1452
Phone number: 479-338-8000
Mailing Address
MR. BRADLEY WIERDA CRNA
PO BOX 507
LOWELL, AR 72745-0507
Phone number: 913-647-4100
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