Individual
PETER ANDREW BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-4660
(602) 933-8945
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
19132
AZ
207LP3000X
Pediatric Anesthesiology Physician
Primary
19132
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050074490
MEDICARE RAILROAD
—
05
—
294984
—
AZ
Enumeration date
01/17/2006
Last updated
12/13/2022
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