NPI | 1972501849 |
---|---|
Professional Name | BRADLEY A. NACE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2307) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA003465L) |
363A00000X Physician Assistant (Licence: CO PA.0003736) | |
363AS0400X Physician Assistant, Surgical (Licence: NH 2149) | |
Enumeration Date | 2005-07-13 |
Last Update Date | 2024-01-31 |