Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 35083327 | OH |
Y | 207RP1001X | Pulmonary Disease | 35083327 | OH |
NPI | 1013068261 |
---|---|
Provider Name | Bradley Richard Harrold |
First Address | Dublin, OH 43016-4259 |
Second Address | Columbus, OH 43215-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 05/01/2022 |