Provider Demographics
NPI:1881755965
Name:WARR, BRADLEY JAMES (PA)
Entity type:Individual
Prefix:
First Name:BRADLEY
Middle Name:JAMES
Last Name:WARR
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:94 PARKER RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5510
Mailing Address - Country:US
Mailing Address - Phone:480-403-1727
Mailing Address - Fax:
Practice Address - Street 1:15223 N. 87TH ST #110
Practice Address - Street 2:STATCLINIX
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-682-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2013-06-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant