Individual
DR. BRIAN JAMES O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
869 S BREEZY WAY, POST FALLS, ID 83854-7443
(509) 528-8880
Mailing address
869 S BREEZY WAY, POST FALLS, ID 83854-7443
(509) 528-8880
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
J5428
TX
207T00000X
Neurological Surgery Physician
Primary
M14355
ID
207T00000X
Neurological Surgery Physician
MD60056621
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0244859
LABOR & INDUSTRIES
WA
05
—
1275570-04
—
TX
05
—
8533796
—
WA
Enumeration date
02/22/2006
Last updated
02/22/2023
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