Individual
DR. HARRIS BOB BRODY
Active
Individual
DR. HARRIS BOB BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HMD, CN, HMD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
003749-1
NY
174400000X
Specialist
CL022136L
PA
174400000X
Specialist
CQ001369L
PA
175F00000X
Naturopath
200001706104
NC
175F00000X
Naturopath
NAT173
DC
Other
Enumeration date
11/17/2008
Last updated
01/06/2010
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