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Individual
THOMAS R BRANT
Active
Individual
THOMAS R BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000339
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106684
HEALTLINK
MO
01
—
24958
BLUE CHOICE
MO
01
—
2709006
UNITED HEALTHCARE
MO
05
—
300749421
—
MO
Enumeration date
05/09/2006
Last updated
06/01/2010
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