| Joshua Bradford | |
|
123 Poplar Point Ests Poca WV 25159-8915 | |
| (304) 720-8713 | |
| Not Available |
| Full Name | Joshua Bradford |
|---|---|
| Speciality | Family Medicine |
| Location | 123 Poplar Point Ests, Poca, West Virginia |
| Authorized Official Name and Position | Joshua Bradford (OWNER) |
| Authorized Official Contact | 3047208713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Bradford 123 Poplar Point Ests Poca WV 25159-8915 Ph: (304) 720-8713 | Joshua Bradford 123 Poplar Point Ests Poca WV 25159-8915 Ph: (304) 720-8713 |
| NPI Number | 1245682947 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245682947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2241 (West Virginia) | Primary |