Individual
SHAD W BROPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
227 16TH ST W, DICKINSON, ND 58601-4675
(701) 227-7900
(701) 227-7985
Mailing address
30 7TH ST W, DICKINSON, ND 58601-4335
(701) 456-4000
(701) 456-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102455
MT
363A00000X
Physician Assistant
Primary
PAC0482
ND
Other
Enumeration date
06/21/2012
Last updated
01/03/2022
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