| NPI | 1902987019 |
|---|---|
| Other Name | JOHN C BRADLEY, M.D. |
| Entity Type | Organization |
| Authorized Contact | JOHN C BRADLEY Owner 301-460-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0014024) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD5818) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-12-12 |