Individual
DR. MAX BRADY STANDEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
4062 HIXSON PIKE, CHATTANOOGA, TN 37415-3110
(423) 877-3568
(423) 877-9332
Mailing address
4062 HIXSON PIKE, CHATTANOOGA, TN 37415-3110
(423) 877-3568
(423) 877-9332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7335
TN
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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