BRADLEY MUDGE MD INC
Medical Practice at Newport Center Dr, Newport Beach, CA

License number
California A79221
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: BRADLEY PIERCE MUDGE MD
Title: MEDICAL DIRECTOR
Phone: (949) 644-2450
Address
Address
240 Newport Center Dr SUITE 105, Newport Beach, CA 92660
National Provider ID: 1548324791
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRADLEY MUDGE, MD INC

Newport Beach, CA  -  San Clemente, CA

Status:
Inactive
Industry:
Cosmetic Surgery, Plastic Surgery
Doing business as:
Bradley Mudge MD
Registration:
Apr 13, 2005
Phone:
(949) 644-2450 (Phone)
Addresses:
240 Newport Ctr Dr STE 105, Newport Beach, CA 92660 (Physical)
4706 Aqua Del Caballete, San Clemente, CA 92673
State ID:
C2742060
Business type:
Articles of Incorporation
President:
Bradley Mudge President, inactive

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