Individual
FREDERICK BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1555 SPRINGFIELD DR, CHICO, CA 95928-6398
(530) 433-9633
(530) 433-9634
Mailing address
1331 N ELM ST, STE. 200, GREENSBORO, NC 27401-6302
(336) 274-9617
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102050132
VA
2085R0202X
Diagnostic Radiology Physician
Primary
20A10089
CA
Other
Enumeration date
01/13/2006
Last updated
08/09/2016
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