Individual
DR. RANDALL STEPHEN BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 HOSPITAL DR, SPENCER, WV 25276-1049
(304) 927-2775
(304) 927-2777
Mailing address
350 HOSPITAL DR, SPENCER, WV 25276-1049
(304) 927-2775
(304) 927-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4111
WV
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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