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Brady Pederson
NPI 1841667763 · on the registry since 2015
Practice
- Address
- 10101 Brook Rd
Suite 852a
Glen Allen, VA 23059 - Phone
- (804) 266-9511
- Fax
- (804) 266-3871
- Organisation at this address
- Usv Optical Inc.
Blue Ridge Hearing Inc
Happy Smiles, Vcc, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia