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Individual

MICHAEL C BRODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4621
(724) 773-4696
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4621
(724) 773-4696

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD035287E
PA
207L00000X
Anesthesiology Physician
ME112848
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1126590
PA
Enumeration date
08/16/2006
Last updated
02/25/2021
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