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Bradley Mudge, MD
NPI 1891764700 · on the registry since 2006 · sole proprietor
Practice
- Address
- 240 Newport Center Drive
Suite 105
Newport Beach, CA 92660 - Phone
- (949) 644-2450
- Fax
- (949) 644-2451
- Organisation at this address
- Bradley Mudge Md Inc
Pacific Dermatology Institute
Orange Coast Surgical Center, IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Also registered as
- 207N00000X
2082S0105X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-20
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 California