Provider Information for 1528679230
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Dr. BARBARA B BRADY
Sex: Female
NPI: 1528679230
Last Updated: 2023-11-27
Certification Date: 2020-08-14
Certification Date: 2020-08-14
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1528679230 | ||||||||||||||
| Enumeration Date | 2020-08-14 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 4035 RIDGEVIEW LN HURRICANE, WV 25526-1366 United States Phone: 304-633-6833 | Fax: | ||||||||||||||
| Primary Practice Address | 4035 RIDGEVIEW LN HURRICANE, WV 25526-1366 United States Phone: 304-633-6833 | Fax: | ||||||||||||||
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