Individual
PATRICIA S BRALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
606 WEST 12TH STREET, COVINGTON, LA 70433
(985) 893-2252
(985) 893-6636
Mailing address
217 CHEROKEE ROSE LANE, COVINGTON, LA 70433
(985) 893-0911
(985) 875-7565
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
10321R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1988677
—
LA
Enumeration date
04/17/2006
Last updated
04/02/2014
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