Most Relevant Information
Provider Data
| NPI Number: | 1003481334 |
| Provider Name: | BRADLEY STEPHEN WINEGARDNER |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | OT020764 |
Most Important Dates
| Enumeration Date: | 05/20/2021 |
| Last Updated: | 05/20/2021 |
Provider Practice Location
1086 FRANKLIN ST
JOHNSTOWN
PA
159054305
Practice Location Phone/Fax
| Phone: | 8145341660 |
| Fax: |
Provider Mailing Location
1086 FRANKLIN ST
JOHNSTOWN
PA
159054305
Provider Mailing Phone/Fax
| Phone: | 8145341660 |
| Fax: | 8145341680 |
Suggested EMR
Surgeon EMR