Dr DEREK CHRISTOPHER BRADDIX is a male medical professional, specializing in Nurse Practitioner. He graduated in 2016.
GARY C RIDENOUR MD A PROF CORP
2152 RENO HWY
SUITE I
FALLON
NV
894062692
Tel: 7754236400
Npi | 1588110480 |
Pac Id | 8729360755 |
Professional Enrollment Id | I20170126000846 |
Last Name | BRADDIX |
First Name | DEREK |
Middle Name | CHRISTOPHER |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
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Organization Legal Name | GARY C RIDENOUR MD A PROF CORP |
Group Practice Pac Id | 0749360907 |
Number Of Group Practice Members | 2 |
Line 1 Street Address | 2152 RENO HWY |
Line 2 Street Address | SUITE I |
Marker Of Address Line 2 Suppression | |
City | FALLON |
State | NV |
Zip Code | 894062692 |
Phone Number | 7754236400 |
Hospital Affiliation Ccn 1 | 291313 |
Hospital Affiliation Lbn 1 | BANNER CHURCHILL COMMUNITY HOSPITAL |
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Professional Accepts Medicare Assignment | Y |
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