Most Relevant Information
Provider Data
| NPI Number: | 1003522855 |
| Provider Name: | BRADFORD JOHN ORLICH PHYSICIAN ASSISTANT |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/25/2023 |
| Last Updated: | 01/25/2023 |
Provider Practice Location
9300 DEWITT LOOP
FORT BELVOIR
VA
220605285
Practice Location Phone/Fax
| Phone: | 5712313224 |
| Fax: |
Provider Mailing Location
5945 MEERES RD
FORT BELVOIR
VA
220603201
Provider Mailing Phone/Fax
| Phone: | 5156645720 |
| Fax: |