NPI 1508474917
Chauncey Bradford
Practice location
- Address
- 1616 E Main St STE 207a-1, Mesa, AZ 85203-9071
- Phone
- (480) 477-9199
- Fax
- (480) 477-9199
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1508474917
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Jul 2020
- Record last updated
- 27 Nov 2023
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.