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Individual

DR. JOSEPH BRENNAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 78236-9907
(210) 292-5623
(210) 292-5621
Mailing address
2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 78236-9907
(210) 292-5623
(210) 292-5621

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
28894
CO
207Y00000X
Otolaryngology Physician
Primary
L5998
TX

Other

Enumeration date
02/03/2006
Last updated
07/08/2007
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