Organization
BRAD A. CASE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A CASE (ADMINISTRATOR)
(970) 773-1946
Entity
Organization
Contact information
Practice address
2478 PATTERSON RD, SUITE 4, GRAND JUNCTION, CO 81505-3605
(970) 773-1946
Mailing address
2478 PATTERSON RD, SUITE 4, GRAND JUNCTION, CO 81505-3605
(970) 773-1946
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97431761
—
CO
Enumeration date
03/29/2016
Last updated
07/27/2016
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