Whalio Doctors

NPI 1477881092

Bradley Footcare LLC

Organisation Foot & Ankle Surgery Podiatrist West Memphis, AR

Practice location

Address
116 W Tyler Ave STE B, West Memphis, AR 72301-4221
Phone
(870) 733-0888
Fax
(870) 733-0889
Mailing address
PO Box 1752, West Memphis, AR 72303-1752

Authorised official

Name
Jesse H Bradley
Title
Podiatrist
Phone
(870) 733-0888

Registered specialties

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 242 (AR)

Registry record

NPI
1477881092
Entity type
Organization
NPI issued
19 Nov 2009
Record last updated
22 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.