Brad A. Mouse, DO

NPI #1588604979 in Grain Valley, Missouri

Provider Information

NPI Number: 1588604979
Entity Type: Individual
Name: Brad A. Mouse, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 7, 2006
Last Updated: Mar 30, 2015

Practice Location

Address: 1101 NW PAMELA BLVD
Address 2: SUITE A
City: Grain Valley
State: Missouri
ZIP Code: 64029-7841
Phone: (816) 295-1606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

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