Individual
PATRICK J BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 GAFFNEY RD # 7440, COMMANDER USA-MEDDAC-AK, ATTN:MCUC-MMD-QM, FT WAINWRIGHT, AK 99703-5001
(907) 353-5418
(907) 353-4847
Mailing address
1060 GAFFNEY RD # 7440, COMMANDER USA-MEDDAC-AK, ATTN:MCUC-MMD-QM, FT WAINWRIGHT, AK 99703-5001
(907) 353-5418
(907) 353-4847
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1373
AL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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