Individual
DR. BRANDON CLINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
377 TH MEDICAL GROUP, 2050A SECOND STREET SE, KIRTLAND AFB, NM 87117-5522
(505) 846-2193
Mailing address
377 TH MEDICAL GROUP, 2050A SECOND STREET SE, KIRTLAND AFB, NM 87117-5522
(505) 846-2193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J1934
TX
2083A0100X
Aerospace Medicine Physician
Primary
J1934
TX
Other
Enumeration date
09/12/2005
Last updated
09/26/2013
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