Most Relevant Information
Provider Data
| NPI Number: | 1003393802 |
| Provider Name: | PAUL JASON BRADLEY RN |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 76375 |
Most Important Dates
| Enumeration Date: | 07/24/2018 |
| Last Updated: | 12/12/2018 |
Provider Practice Location
920 STANTON L YOUNG BLVD # WP1140
OKLAHOMA CITY
OK
731045036
Practice Location Phone/Fax
| Phone: | 4052714351 |
| Fax: | 4052718695 |
Provider Mailing Location
PO BOX 26901, WP1140
OKLAHOMA CITY
OK
73126
Provider Mailing Phone/Fax
| Phone: | 4052714351 |
| Fax: |