Individual
TERESA MAE BRADY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
258 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 347-0303
(816) 347-0160
Mailing address
405 SW WATERFALL CT, LEES SUMMIT, MO 64081-1793
(816) 524-5177
(816) 347-0160
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
103112
MO
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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