Individual
BRANDON EDWARD GUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1350 CHESTER BLVD STE A, RICHMOND, IN 47374-1963
(765) 935-8914
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3293
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002317A
IN
Other
Enumeration date
09/27/2017
Last updated
03/03/2023
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