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Individual
BRANDON THOMAS ALFORD
Active
Individual
BRANDON THOMAS ALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NULL
207L00000X
Anesthesiology Physician
Primary
125085608
IL
207R00000X
Internal Medicine Physician
125085608
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
11/06/2019
Last updated
05/21/2026
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