Individual
BRADY LEE HAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 ROCK MERRIT AVENUE, FORT LIBERTY, NC 28310-0001
(910) 432-4159
Mailing address
5-3845 COMBAT MEDIC DRIVE, FORT BRAGG, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
11/07/2024
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