SAMUEL BRADY

CHEYENNE, WY
NPI1174156699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  PA1252)
Enumeration Date2020-02-13
Last Update Date2024-09-16
Business Address
SAMUEL BRADY PA-C
2301 HOUSE AVE STE 201
CHEYENNE, WY 82001-3177
Phone number: 307-638-7757
Mailing Address
SAMUEL BRADY PA-C
PO BOX 20970
CHEYENNE, WY 82003-7020
Phone number: 307-996-4777