Whalio Doctors

NPI 1457530859

Bradly S Ledbetter

Practitioner Driver Santa Rosa, CA

Practice location

Address
3333 Chanate Rd, Santa Rosa, CA 95404-1707
Phone
(707) 565-4940

Registered specialties

Driver Primary
Other Service Providers Taxonomy 172A00000X

Registry record

NPI
1457530859
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Nov 2007
Record last updated
15 Jul 2014

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.