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NPI Code Detail

MEDICARE: BRADLEY SEATON THEDINGER MD

MEDICARE:   BRADLEY SEATON THEDINGER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YX0901XOtology & Neurotology PhysicianR7F10MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316914005
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY SEATON THEDINGER MD
Provider Business Mailing Address
First Line : 3100 BROADWAY SUITE 509
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2413
Country : US
Telephone Number : 816-531-7373
Fax Number : 816-531-1404
Provider Business Practice Location Address
First Line : 3100 BROADWAY SUITE 509
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2413
Country : US
Telephone Number : 816-531-7373
Fax Number : 816-531-1404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 05/15/2012

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Directions to “ BRADLEY SEATON THEDINGER MD” Practice Location

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