Individual
BRANDON GANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
460 W 10TH AVE FL 4, COLUMBUS, OH 43210-1240
(614) 685-7489
(614) 685-6689
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 685-7489
(614) 685-6689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004811RX
OH
363AS0400X
Surgical Physician Assistant
50.004811RX
OH
Other
Enumeration date
09/27/2016
Last updated
02/02/2024
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