Individual
MR. BRAD GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.C.P.
Contact information
Practice address
213 BLANQUITA WAY, PLACENTIA, CA 92870-1911
(714) 223-1877
Mailing address
214 CENTERVIEW DR STE 100, BRENTWOOD, TN 37027-5274
(800) 348-4565
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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