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Individual

DR. BRANDON BASSIAN SHETUNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
760 AIRPORT RD, PANAMA CITY, FL 32405-4003
(850) 763-0260
Mailing address
760 AIRPORT RD, PANAMA CITY, FL 32405-4003
(850) 763-0260

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME134029
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125056581
125056581
IL
Enumeration date
06/18/2009
Last updated
03/17/2018
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