| Doctor Name: | BRADLEY DONALD TOURTLOTTE |
| NPI Number: | 1902955859 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G-076763 |
| Business Practice Address: | 3663 Arch Rd Suite 400 Stockton, CA - 952158315 |
| Business Phone Number: | 2099432202 |
| Business Fax Number: | 2099432209 |
| Mailing Address: | 7020 Burning Tree Ct, RIVERBANK |
| State: | CA |
| Postal Code: | 953673328 |
| Phone Number: | 2096139669 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G-076763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |