Individual
MARY BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3455 S YARROW ST, LAKEWOOD, CO 80227-5031
(303) 989-5231
Mailing address
3455 S YARROW ST, LAKEWOOD, CO 80227-5031
(303) 989-5231
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD470851
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
DR.0071805
CO
207NS0135X
Procedural Dermatology Physician
35.136073
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2015
Last updated
12/15/2023
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