| Mr Ryan Bradley, PA-C, CAQ-PSY | |
|
4315 El Salvador Way, Eglin, FL 32542-1711 | |
| (575) 386-6585 | |
| Not Available |
| Full Name | Mr Ryan Bradley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 4315 El Salvador Way, Eglin, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235862012 | NPI | - | NPPES |
| B224-972-93-800-0 | Other | FL | STATE DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 9118992 (Florida) | Primary |
| 363A00000X | Physician Assistant | 1198847 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ryan Bradley, PA-C, CAQ-PSY 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (915) 742-2273 | Mr Ryan Bradley, PA-C, CAQ-PSY 4315 El Salvador Way, Eglin, FL 32542-1711 Ph: (575) 386-6585 |
Mrs. Juliann Sutterfield, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 96th Medical Group, 307 Boatner Rd, Eglin, FL 32542 Phone: 850-883-8600 | |
Ryan Griffith, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Bldg 2825 Rm 1b045, Eglin, FL 32542 Phone: 850-883-8448 | |
Mr. Christopher James Gardner, PA-S, NREMT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd, Eglin, FL 32542 Phone: 850-883-8542 |