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DR. ANDREW S BRENNER MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1467489435

Individual Registrant:
DR. ANDREW S BRENNER MD
Gender: M
Sole Proprietor

Location and contact information for practice:
1570 PASEO GRANDE #2024 BULLHEAD CITY, AZ 86442-8523 US
Tel: 217-621-9007  Fax: --

Contact information for business:
1570 PASEO GRANDE #2024 BULLHEAD CITY, AZ 86442-8523 US
Tel: 217-621-9007  Fax: --

Registration Information:
NPI: 1467489435
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
IL036052639

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
036052639IL05




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