Individual
RONALD P BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 N MAIN ST, GREENVILLE, PA 16125-1726
(724) 588-2100
Mailing address
18 LIMESTONE STREET, SUITE 222, SPRINGFIELD, OH 45502
(937) 323-5400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD040424E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354036
BLUE CROSS BLUE SHIELD
OH
05
—
0019105660007
—
PA
05
—
0701315
—
OH
01
—
1402764
BLUE CROSS BLUE SHIELD
PA
Enumeration date
02/14/2006
Last updated
10/15/2009
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