NPI 1013746833

William Logan Bradley, MSRDNLD

Practitioner Registered Dietitian Columbia, MO

Practice location

Address: 1600 E Broadway, Columbia, MO 65201-5844
Phone: (573) 815-3189

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2024028310 (MO)

Other Dietitian, Registered providers in Missouri →

Registry record

NPI: 1013746833
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jul 2024
Record last updated: 30 Jul 2024

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.