Provider Demographics
NPI:1184628877
Name:MEEK, BRADLEY J (DO)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:J
Last Name:MEEK
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Gender:M
Credentials:DO
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Mailing Address - Street 1:9520 WEST PALM LANE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037
Mailing Address - Country:US
Mailing Address - Phone:877-809-5092
Mailing Address - Fax:623-815-9253
Practice Address - Street 1:811 N TEGNER ST
Practice Address - Street 2:SUITE 113
Practice Address - City:WICKENBURG
Practice Address - State:AZ
Practice Address - Zip Code:85390-5409
Practice Address - Country:US
Practice Address - Phone:877-809-5092
Practice Address - Fax:623-815-9253
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2013-04-05
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Provider Licenses
StateLicense IDTaxonomies
AZ3257207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD14390Medicare UPIN