Individual
BRANDON EUGENE BIRELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3307 RENNER DR, FORTUNA, CA 95540-3119
(707) 725-7390
Mailing address
3307 RENNER DR, FORTUNA, CA 95540-3119
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A16540
CA
208600000X
Surgery Physician
5101020721
MI
Other
Enumeration date
06/27/2013
Last updated
10/15/2021
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