BRADLEY ANTHONY QUALIZZA

VALPARAISO, IN
NPI1962996637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002518A)
Enumeration Date2018-06-18
Last Update Date2018-09-28
Business Address
Mr. BRADLEY ANTHONY QUALIZZA PA
85 E US HIGHWAY 6
VALPARAISO, IN 46383-8947
Phone number: 219-983-8300
Mailing Address
Mr. BRADLEY ANTHONY QUALIZZA PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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