# SHARON K. BRANDON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912121807
- **Authorized official:** DR. SHARON K. BRANDON M.D. (MEMBER)
- **Authorized official phone:** (573) 429-0133

## Contact information

- **Practice address:** 722 MAPLE RIDGE TRL, POPLAR BLUFF, MO 63901-2216
- **Practice address phone:** (573) 429-0133
- **Practice address fax:** (573) 686-7525
- **Mailing address:** 722 MAPLE RIDGE TRL, POPLAR BLUFF, MO 63901-2216
- **Mailing address phone:** (573) 429-0133
- **Mailing address fax:** (573) 686-7525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R9547 | MO | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020