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Contact Information

LANDON H BRADFORD, ATC
1705 SOUTH SAN FRANCISCO STREET
STUDENT ATHLETE HIGH PERFORMANCE CENTER
FLAGSTAFF, AZ86011
 Phone: 928-523-5469
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for LANDON H BRADFORD · (Male)

NPI Number 1235142779
Status Active
Credentials ATC
Entity Individual
Enumeration date 08/15/2006
Last updated 01/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 0370
  • IL License # 096.002701
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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