Tonda Dale Bradshaw in Yucaipa - Internal Medicine
Tonda Dale Bradshaw - NPI 1760574123
Tonda Dale Bradshaw is a Internal Medicine in Yucaipa, California. Tonda Dale Bradshaw practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Tonda Dale Bradshaw is 1760574123. The last update date is 2008-10-01.
Tonda Dale Bradshaw's current location address is 35237 Yucaipa Blvd, Yucaipa, California. You can contact this provider via phone number 9097906200 and fax number 9097906220. The mailing address for Tonda Dale Bradshaw is 35237 Yucaipa Blvd, Yucaipa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tonda Dale Bradshaw |
|---|---|
| Address | 35237 Yucaipa Blvd, Yucaipa, California |
| Phone Number | 9097906200 |
| Fax Number | 9097906220 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1760574123 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2008-10-01 |
Provider Mailing Address Detail
| Address | 35237 Yucaipa Blvd |
|---|---|
| City | Yucaipa |
| State | California (CA) |
| Post Code | 923994340 |
| Phone Number | 9097906200 |
| Fax Number | 9097906220 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 20A6282 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00AX62821 | CA | -- | |
| J301879 | CA | INLAND EMPIRE HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tonda Dale Bradshaw by the Centers for Medicare & Medicaid Services?
The Tonda Dale Bradshaw has been assigned the NPI (National Provider Identifier) 1760574123 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Tonda Dale Bradshaw is located?
The Tonda Dale Bradshaw is situated at the following address: 35237 Yucaipa Blvd, Yucaipa, CA, 923994340.
What is the area of specialization for Tonda Dale Bradshaw, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tonda Dale Bradshaw is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760574123 to Tonda Dale Bradshaw?
The Centers for Medicare & Medicaid Services originally issued the 1760574123 to Tonda Dale Bradshaw on 2006-09-29.
As of what date were the Tonda Dale Bradshaw's details last updated?
The information pertaining to the Tonda Dale Bradshaw, including its address, specialty, and other details, was most recently updated on 2008-10-01.