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Individual
DR. BRIAN E MUSSETT
Active
Individual
DR. BRIAN E MUSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004321R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016475320002
—
PA
01
—
SC004321R
STATE LICENSE NUMBER
PA
Enumeration date
04/28/2006
Last updated
04/13/2017
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