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Search › Arkansas › 213ES0103X

Jesse Bradley, D.P.M

NPI 1114160389 · on the registry since 2009 · sole proprietor

Practice

Address
116 W Tyler Ave
Suite B
West Memphis, AR 72301
Phone
(870) 733-0888
Fax
(870) 733-0889
Organisation at this address
Bradley Footcare Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Also registered as
213ES0103X
213ES0103X
213ES0103X
Licence states on file
MS, MO, TN, AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas