Individual
BRANDON CHEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADIOLOGY TECHNICIAN
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7155
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7155
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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