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Individual
DR. BRADY BLAIR BUCHANAN
Active
Individual
DR. BRADY BLAIR BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.152055
OH
208000000X
Pediatrics Physician
35.152055
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.152055
SOMB
OH
Enumeration date
03/31/2023
Last updated
04/20/2025
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