Brady Davis is a Military Health Care Provider based in Wpafb, OH. Brady Davis practices in Wpafb, OH. The NPI Number for Brady Davis is 1528486628 and holds a License No. 34.013983 (Ohio).
The current practice location address for Brady Davis is 4881 Sugar Maple Dr, Wpafb, OH and can be reached out via phone at 719-338-7861.
Location: 4881 Sugar Maple Dr, Wpafb, OH, 45433-5529
Provider Profile Details
NPI Number
1528486628
Provider Name
Brady Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
4881 Sugar Maple Dr, Wpafb, OH, 45433-5529
Phone Number
719-338-7861
Fax Number
Provider Enumeration Date
04/04/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
4881 Sugar Maple Dr
City
State
Zip
45433-5529
Phone Number
719-338-7861
Fax Number
Provider Business Mailing Address Details
Address
4881 Sugar Maple Dr
City
State
Zip
45433-5529
Phone Number
719-338-7861
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
34.013983 (Ohio)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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