Individual
MR. MARK ROLAND BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.C.P.
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47747-0001
(812) 450-5000
Mailing address
2444 WATERSTONE DR, EVANSVILLE, IN 47725-6585
(812) 867-8903
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
9100031
IN
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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