Individual
DR. ANDREW S BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1570 PASEO GRANDE, #2024, BULLHEAD CITY, AZ 86442-8523
(217) 621-9007
Mailing address
1570 PASEO GRANDE, #2024, BULLHEAD CITY, AZ 86442-8523
(217) 621-9007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036052639
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052639
—
IL
Enumeration date
06/27/2006
Last updated
06/06/2008
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