Individual
DR. CHADWELL BRANDON VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013030594
MO
207R00000X
Internal Medicine Physician
Primary
92666
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467733022
—
MO
Enumeration date
09/08/2011
Last updated
02/06/2025
Update your record
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