Individual
JARED ROBERT BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA898
NV
363AS0400X
Surgical Physician Assistant
PA898
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505905
—
NV
Enumeration date
02/14/2006
Last updated
09/12/2012
Update your record
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