Individual
MADISON BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, GROUND FLR RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-6698
Mailing address
3400 SPRUCE ST, GROUND FLR RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-6698
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MA061773
PA
Other
Enumeration date
10/10/2020
Last updated
07/18/2022
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