Individual
SUSAN E. BRALEY
Active
Individual
SUSAN E. BRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-06-2155
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013880
ANTHEM
OH
05
—
0843798
—
OH
01
—
1620954
UNITED HEALTHCARE
OH
05
—
200039480A
—
IN
05
—
64868219
—
KY
01
—
655258
AETNA
OH
Enumeration date
10/17/2005
Last updated
02/12/2018
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