Individual
BRANDON GARRET LOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4244 RIVERWALK PKWY STE 240, RIVERSIDE, CA 92505-3372
(951) 509-3580
(951) 509-4552
Mailing address
4244 RIVERWALK PKWY STE 240, RIVERSIDE, CA 92505-3372
(951) 509-3580
(951) 509-4552
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A109692
CA
Other
Enumeration date
10/27/2009
Last updated
07/21/2022
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