Individual
DR. BRADY AARON THOMAS TICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1115 20TH ST STE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
Mailing address
1115 20TH ST STE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
08/31/2022
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