Individual
MS. PENNY SUE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
DEPT OF PEDIATRICS, MSC 105590 1 UNM, ALBUQUERQUE, NM 87131-0001
(505) 272-5551
(505) 272-2374
Mailing address
DEPT OF PEDIATRICS, MSC 105590 1 UNM, ALBUQUERQUE, NM 87131-0001
(505) 272-5551
(505) 272-2374
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A136506
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33233
—
NM
Enumeration date
06/09/2006
Last updated
05/02/2012
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