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Individual

DR. DAVID BRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
551 N HILLSIDE ST, SUITE 320, WICHITA, KS 67214-4923
(316) 685-1367
Mailing address
551 N HILLSIDE ST, SUITE 320, WICHITA, KS 67214-4923
(316) 685-1367

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0415927
KS

Other

Enumeration date
07/15/2005
Last updated
01/10/2008
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