Individual
BRADLEY A. NACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 S MAIN ST, WOLFEBORO, NH 03894-4455
(603) 569-7690
(603) 569-7664
Mailing address
240 S MAIN ST, WOLFEBORO, NH 03894-4455
(603) 569-7690
(603) 569-7664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA003465L
PA
363A00000X
Physician Assistant
Primary
PA-2307
ID
363A00000X
Physician Assistant
PA.0003736
CO
363AS0400X
Surgical Physician Assistant
2149
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59036371
—
CO
Enumeration date
07/13/2005
Last updated
01/31/2024
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