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SCOTT A BRANDT MD

>> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1285603043

Individual Registrant:
 SCOTT A BRANDT MD
Gender: M
Sole Proprietor

Location and contact information for practice:
280 MAIN ST UNIT C-104 EDWARDS, CO 81632 US
Tel: 970-766-8245  Fax: 970-432-7065

Contact information for business:
280 MAIN ST UNIT C-104 EDWARDS, CO 81632 US
Tel: (97-0) -766-8245  Fax: 970-432-7065

Registration Information:
NPI: 1285603043
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
CO36941
Y208VP0014XAllopathic & Osteopathic Physicians
Pain Medicine
CO36941

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD604688CO01




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