NPI 1669988069

Bradley Joe Phelps, CSA

Practitioner Surgical Assistant Eau Claire, WI

Practice location

Address: 900 W Clairemont Ave, Eau Claire, WI 54701-6122
Phone: (715) 717-6600
Mailing address: PO Box 19070, Green Bay, WI 54307-9070

Registered specialties (2)

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Wisconsin →

Surgical Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Registry record

NPI: 1669988069
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2017
Record last updated: 20 Dec 2017

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.