Individual
STEPHEN MICHAEL BRANDAO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1500 LINE AVENUE, STE 200, SHREVEPORT, LA 71101
(318) 629-5555
(318) 629-5556
Mailing address
1500 LINE AVENUE, STE 200, SHREVEPORT, LA 71101
(318) 629-5001
(318) 629-5020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN074738
LA
Other
Enumeration date
02/26/2007
Last updated
12/31/2007
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