Individual
DR. BRANDON D POMEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
04-27485
KS
208800000X
Urology Physician
Primary
2001023021
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205752603
—
MO
05
—
30004377260004
—
KS
01
—
340019585
RR MEDICARE
—
Enumeration date
05/11/2006
Last updated
08/13/2024
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