Individual
DR. GERALD THOMAS BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
119 VILLAGE WAY, PORT LUDLOW, WA 98365-8792
(360) 437-8008
(360) 437-0406
Mailing address
PO BOX 65111, 119 VILLAGE WAY, PORT LUDLOW, WA 98365-0111
(360) 437-8008
(360) 437-0406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002344
WA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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