Individual
BRADLEY J BRAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2424 N WYATT DR, TUCSON, AZ 85712-6115
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15663
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
15663
AZ
Other
Enumeration date
08/02/2005
Last updated
12/06/2012
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