NPI 1003836362

Walter G Bradley

Practitioner Neurology with Special Qualifications in Child Neurology Physician Miami, FL

Practice location

Address: 1475 NW 12th Ave Box 016960 M851, Miami, FL 33136-1002
Phone: (305) 243-7520

Registered specialties

Neurology with Special Qualifications in Child Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence ME61738 (FL)

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Registry record

NPI: 1003836362
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2006
Record last updated: 8 Jul 2007

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.