JONATHAN D BRADY

SPRINGFIELD, MO
NPI1215287990
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: MO  2012031847)
Enumeration Date2012-09-11
Last Update Date2013-02-22
Business Address
-- JONATHAN D BRADY AA
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829
Mailing Address
-- JONATHAN D BRADY AA
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620