Individual
DR. BRANDON GEORGE DMYTRUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4921
Mailing address
5312 OUTLOOK BLVD APT 9302, PUEBLO, CO 81008-1569
(630) 995-6173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0065006
CO
Other
Enumeration date
07/08/2017
Last updated
07/21/2020
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