Individual
MR. BRANDON ROBERT BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 865-1111
Mailing address
4025 NICHOLS RIDGE RD, SEAMAN, OH 45679-9532
(937) 515-0145
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0020627
OH
Other
Enumeration date
07/09/2022
Last updated
09/15/2022
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