Individual
BRANDON PATRICK STAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 N MAIN ST STE 103, GREENVILLE, PA 16125-1726
(724) 983-7991
Mailing address
110 N MAIN ST STE 103, GREENVILLE, PA 16125-1726
(724) 983-7991
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
32549
NE
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD480764
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2015
Last updated
06/28/2023
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