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Individual
DR. BRENDAN MICHAEL MCCONNELL
Active
Individual
DR. BRENDAN MICHAEL MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000726
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009300104
—
VA
01
—
1194731042
BLUE CROSS BLUE SHIELD
VA
01
—
4122283
AETNA
VA
01
—
480006732
RAILROAD MEDICARE
VA
Enumeration date
07/31/2006
Last updated
07/05/2022
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