Edward Bradshaw, PA-C

NPI 1235192774 · on the registry since 2006

Practice

Address: 72 Lake Havasu Ave S Ste 102
Lake Havasu City, AZ 86403
Phone: (928) 453-2211
Fax: (928) 453-2213
Organisation at this address: Panacea Brain And Spine, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Also registered as: 363AS0400X
Licence states on file: FL, AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona