NPI 1013950070

Bradley D Wiley, MD

Practitioner Internal Medicine Physician Springfield, MO

Practice location

Address: 1001 E Primrose St, Springfield, MO 65807-5155
Phone: (417) 875-3000
Fax: (417) 875-3051
Mailing address: PO Box 9007, Springfield, MO 65808-9007

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 111451 (MO)

Other Internal Medicine providers in Missouri →

Registry record

NPI: 1013950070
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2006
Record last updated: 5 Jul 2012

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.