Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD WILLARD BRADSHAW III, PA-C
ActiveEDWARD WILLARD BRADSHAW III, PA-C is a Surgical Physician Assistant healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1235192774 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LAKE HAVASU CITY, AZ
Registration Details
- NPI Number
- 1235192774
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2006 (20.388227677252 yrs)
- Last Updated
- Jun 29, 2020
- Licenses
-
PA2576 (FL)5357 (AZ)
Practice Information
- Address
-
72 LAKE HAVASU AVE S STE 102LAKE HAVASU CITY, AZ, 864030857Browse AZ providers · Browse ZIP 86403
- Phone
- 9284532211
- Fax
- 9284532213
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in LAKE HAVASU CITY, AZ
| Name | Credential | NPI |
|---|---|---|
| MARGARET B HOLMES | P.A.-C. | 1104895655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.