Brady W Corse ATC/L

NPI 1275809709 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1275809709
Gender Male
Enumeration Date 03/29/2012
Last Updated 03/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
200 NE MOTHER JOSEPH PLACE
SUITE 100
VANCOUVER WA, 98664, US
Phone (360) 514-2048
Fax
Business Location
200 NE MOTHER JOSEPH PLACE
SUITE 100
VANCOUVER WA, 98664, US
Phone (360) 514-2048
Fax (360) 514-5033
Toxanomy
Taxonomy Code 2255A2300X
License State Washington
License Number 60068895
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According to our database, Brady W Corse ATC/L NPI is 1275809709, taxonomy code is 2255A2300X and license number is 60068895, license state is located at Washington. Brady W Corse ATC/L physically located at 200 Ne Mother Joseph Place, Vancouver WA, 98664. NPI Number Brady W Corse ATC/L has the Individual type.

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1275809709 NPI number is provided on an as is basis without warranty of any kind. 1275809709 is maintained by the National Plan & Provider Enumeration System. The contents of Brady W Corse ATC/L are for informational purposes only.