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Individual

BRANDON AUGUST CESTARIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
512A SOUTH CHURCH STREET, RIPLEY, WV 25271-1616
(304) 372-1033
(304) 373-0223
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1905
WV
207Q00000X
Family Medicine Physician
34.015445
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1842022000
WV
05
2601590
OH
05
3810010399
WV
01
P00403709
RAILROAD MEDICARE
Enumeration date
03/08/2006
Last updated
11/08/2021
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