Brady W Hanquist, P.A.C.

NPI #1972838688 in Beatrice, Nebraska

Provider Information

NPI Number: 1972838688
Entity Type: Individual
Name: Brady W Hanquist, P.A.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.C.
Enumeration Date: Oct 14, 2009
Last Updated: Sep 15, 2011

Practice Location

Address: 1101 N 10TH ST
City: Beatrice
State: Nebraska
ZIP Code: 68310-2001
Phone: (402) 228-3436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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