Individual
MR. BRANDON CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
541 STEINER ST APT 4, SAN FRANCISCO, CA 94117-2574
(510) 735-7190
(510) 735-7190
Mailing address
541 STEINER ST APT 4, SAN FRANCISCO, CA 94117-2574
(510) 735-7190
(510) 735-7190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA18557
PA-C LICENSE NUMBER
CA
Enumeration date
05/11/2006
Last updated
04/02/2024
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