Wade J Bravo, PA
NPI #1023085255 in Patrick Afb, Florida
Provider Information
- NPI Number
- 1023085255
- Entity Type
- Individual
- Name
- Wade J Bravo, PA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Mar 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1381 S PATRICK DRIVE
- Address 2
- 45TH MEDICAL GROUP
- City
- Patrick Afb
- State
- Florida
- ZIP Code
- 32925
- Phone
- (321) 494-8159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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