NPI 1073838348

Bradley Jason Deans, COTAL

Practitioner Contractor Crane, MO

Practice location

Address: 302 Christiana St, Crane, MO 65633-9107
Phone: (417) 844-4252

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1073838348
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2010
Record last updated: 30 Mar 2010

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.