Individual
BRANDON MARK TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
70115
AZ
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
70115
AZ
Other
Enumeration date
05/25/2018
Last updated
08/17/2023
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