Individual
DR. PATRICK JOSEPH BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 RESERVOIR AVE, SUITE 204, CRANSTON, RI 02910-4448
(401) 946-1810
(401) 946-4364
Mailing address
725 RESERVOIR AVE, SUITE 204, CRANSTON, RI 02910-4448
(401) 946-1810
(401) 946-4364
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RI5343
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000518
—
PR
Enumeration date
06/14/2006
Last updated
10/23/2007
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