Larry Allan Bradley, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Billings, MT

NPI

1780194175

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

MED-PAC-LIC-59882 (MT)

Sex

Male

Sole proprietor

No

Enumerated

2017-10-11

Last updated

2021-12-14