Individual
BRANDON NOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 SE OAK RIDGE DR., UNIT A, OAK GROVE, MO 64075
(949) 292-5514
Mailing address
509 SE OAK RIDGE DR APT A, OAK GROVE, MO 64075-9290
(949) 292-5513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2016023128
MO
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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