Search › West Virginia › 103TC2200X
Bradley Gault, MA
NPI 1316396062 · on the registry since 2016 · sole proprietor
Practice
- Address
- 98 Liberty Ln
Mineral Wells, WV 26150 - Phone
- (304) 482-2959
Registry record
- Primary taxonomy
- 103TC2200X
103TC2200X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-03
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 West Virginia