Brady Green is a student in an organized health care education training program in Boise, ID. The provider is 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. Brady Green NPI is 1720526445. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1720 N WESTGATE DR
BOISE, ID
ZIP 83704-164
Phone: (208) 334-0800
The NPI 1720526445 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).
The enumeration date for this NPI number is 2/1/2017 and was last updated on 2/1/2017.