Individual
DR. PAUL ANDERSON BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35076811
OH
207W00000X
Ophthalmology Physician
Primary
ME102185
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
ME102185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278292
BCBS FACET NUMBER
OH
05
—
10000440
—
IN
05
—
2307104
—
OH
05
—
64038763
—
KY
Enumeration date
10/05/2005
Last updated
02/07/2020
Update your record
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