Individual
BRENDON PALTOO
Active
Individual
BRENDON PALTOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D57040
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060064602
RR MEDICARE
MD
01
—
60764602
CAREFIRST BS
MD
05
—
966604401
—
MD
01
—
E6360006
FEDERAL BS
MD
Enumeration date
10/04/2005
Last updated
11/01/2011
Update your record
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