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Individual
BRENT JACKSON MCDANIEL
Active
Individual
BRENT JACKSON MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02004071A
IN
207L00000X
Anesthesiology Physician
05348
KY
208D00000X
General Practice Physician
Primary
02004071A
IN
Other
Enumeration date
06/15/2011
Last updated
10/05/2023
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