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Individual

WILLIAM E BRADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
100 CENTRAL ST, CHILLICOTHE, MO 64601-1554
(816) 678-9094
Mailing address
1505 LAMBERT DR, CHILLICOTHE, MO 64601-3521
(816) 525-9094

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
146663
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
918404203
MO
Enumeration date
06/19/2006
Last updated
01/03/2014
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