Individual
BRANDON D PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409
(928) 757-2101
Mailing address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409
(928) 757-2101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R4228
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R4228
AZ
Other
Enumeration date
05/23/2024
Last updated
08/17/2025
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