Individual
MR. BRANDON LEE MCLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2510 18TH AVE, CENTRAL CITY, NE 68826
(308) 946-3845
(308) 946-2357
Mailing address
2510 18TH AVE, CENTRAL CITY, NE 68826-2123
(308) 946-3845
(308) 946-2357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1237
NE
363A00000X
Physician Assistant
Primary
1237
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37871
BLUECROSS & BLUESHIELD
NE
01
—
P00295047
RAILROAD MEDICARE
—
Enumeration date
08/30/2006
Last updated
05/16/2018
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