Organization
BRADEN PARTNERS LP
Active
Other names
Pacific Pulmonary Services
Organization subpart
No
Provider details
NPI number
Authorized official
JANE L THOMAS (CHIEF EXECUTIVE OFFICER)
(415) 893-1518
Entity
Organization
Contact information
Practice address
1110 E PENNSYLVANIA ST, SUITE 401, TUCSON, AZ 85714-1666
(520) 806-0202
(520) 806-0203
Mailing address
8730 HARRIS RD, UNIT 204, BAKERSFIELD, CA 93311-8990
(661) 396-3720
(661) 832-6009
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410765
—
AZ
05
—
991621
—
AZ
Enumeration date
08/16/2006
Last updated
08/26/2013
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