Individual
DR. ERIC J BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
777 N 500 W, SUITE 205, PROVO, UT 84601-1541
(801) 375-2420
Mailing address
777 N 500 W, SUITE 205, PROVO, UT 84601-1541
(801) 375-2420
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
355063-1202
UT
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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