Doctor Name: | BRADY DAVIS |
NPI Number: | 1528486628 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1000 American Pacific Dr Apt 1022 Henderson, NV - 890748790 |
Business Phone Number: | 7193387861 |
Business Fax Number: | |
Mailing Address: | 1000 American Pacific Dr, Apt 1022 HENDERSON |
State: | NV |
Postal Code: | 890748790 |
Phone Number: | 7193387861 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2014 |
NPI Last Update Date: | 04/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |