Individual
SUZANNE W. BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7911 W CENTER RD, OMAHA, NE 68124-3104
(402) 390-0333
(402) 390-9632
Mailing address
7911 W CENTER RD, OMAHA, NE 68124-3104
(402) 390-0333
(402) 390-9632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14695
NE
Other
Enumeration date
06/04/2006
Last updated
07/03/2008
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