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Individual

PHILLIP BRAY

Active
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Individual

PHILLIP BRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
77673-21
WI
2084P0800X
Psychiatry Physician
OP61512333
WA
2084P0802X
Addiction Psychiatry Physician
Primary
77673-21
WI

Other

Enumeration date
03/17/2020
Last updated
12/15/2025
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