Jared Allen Bradley
Jared Allen Bradley is a Physician Assistant in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
5332 Heron CtOklahoma City, OK 73179-3403
Phone: (405) 306-9641
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5108 (OK) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1083394373 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 20, 2023 |
| Last updated in NPPES | March 19, 2024 |
| Certification date | March 19, 2024 |
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