Individual
JEFFREY R BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
25 W HICKMAN RD, WAUKEE, IA 50263-5018
(515) 643-7000
(515) 643-7001
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-7000
(515) 643-7001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02248
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5038018
—
IA
Enumeration date
08/15/2006
Last updated
09/03/2010
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