Individual
DANIEL EDWARD BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 S FREMONT AVE, SUITE 3300, SPRINGFIELD, MO 65804-2239
(417) 820-5200
(417) 820-5220
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2005018830
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184644064
—
MO
Enumeration date
07/20/2006
Last updated
02/11/2015
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