Brad A. Mouse is a Family Medicine Physician based in Grain Valley, MO. Brad A. Mouse practices in Grain Valley, MO and has the professional credentials of DO. The NPI Number for Brad A. Mouse is 1588604979 and holds a License No. R9G82 (Missouri).
The current practice location address for Brad A. Mouse is 1101 Nw Pamela Blvd, Grain Valley, MO and can be reached out via phone at 816-295-1606 and via fax at 816-295-1606.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18960020 | 01 | CFU BCBS | |
| 13384041 | 01 | BCBS PROVIDER NUMBER | |
| 080148316 | 01 | MO | RR MEDICARE |
| 481159444 | 01 | TAX ID | |
| 2057742 | 01 | AETNA | |
| 1588604979 | 05 | MO |
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