Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY L. BRADLEY-LEBOEUF, M.D.
Active Sole ProprietorDR. MARY L. BRADLEY-LEBOEUF, M.D. is a Pediatrics healthcare provider located in IDABEL, Oklahoma. NPI 1497724041 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · IDABEL, OK
Registration Details
- NPI Number
- 1497724041
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2006 (20.423590036095 yrs)
- Last Updated
- Feb 2, 2011
- License
-
22507 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1307 LYNN LNIDABEL, OK, 747456845Browse OK providers · Browse ZIP 74745
- Phone
- 5802865437
- Fax
- 5802863955
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in IDABEL, OK
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT MARTIN GRIGORY | M.D. | 1740369636 |
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.