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BRANDON EUGENE BIRELEY D.O.

>> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1407296064

Individual Registrant:
 BRANDON EUGENE BIRELEY D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3307 RENNER DR  FORTUNA, CA 95540-3119 US
Tel: 707-725-7390  Fax: --

Contact information for business:
3307 RENNER DR  FORTUNA, CA 95540-3119 US
Tel: --  Fax: --

Registration Information:
NPI: 1407296064
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208600000XAllopathic & Osteopathic Physicians
Surgery
MI5101020721
Y208600000XAllopathic & Osteopathic Physicians
Surgery
CA20A16540

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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