Individual
BRANDON WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7624 N MARKS AVE, FRESNO, CA 93711-0262
(602) 770-4260
Mailing address
7624 N MARKS AVE, FRESNO, CA 93711-0262
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A20048
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2016
Last updated
02/09/2023
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