BRAD THOMAS MITSDARFFER

LOS ANGELES, CA
NPI1790148328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP130007)
Enumeration Date2016-03-31
Last Update Date2021-11-11
Business Address
BRAD THOMAS MITSDARFFER CRNA
1401 S GRAND AVE
LOS ANGELES, CA 90015-3010
Phone number: 213-748-2411
Mailing Address
BRAD THOMAS MITSDARFFER CRNA
1540 FAIRFIELD CT
LEWISVILLE, TX 75077-3722
Phone number: 214-223-3750
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