Tyler Jacob Brady, PA
Physician Assistant, Medical in Butler, PA. Individual provider (NPI-1).
NPI number1275905606
StatusActive
Last updated in NPPESNov 9, 2015
Details
- NPI
- 1275905606
- Entity type
- Individual (NPI-1)
- Name
- Tyler Jacob Brady
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2015
- Last updated
- Nov 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA057761 | PA | Yes |
Practice location
1 Hospital WayButler, PA 16001-4670
Phone 724-283-6666
Mailing address
1 Hospital WayButler, PA 16001-4670
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