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Individual

DR. BRANNON PHILLIP PERALTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
23625 HOLMAN HWY, MONTEREY, CA 93940-5902
(831) 625-5311
Mailing address
567 WARREN ST APT 503, BROOKLYN, NY 11217
(408) 431-7392

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
56517
CT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A151902
CA

Other

Enumeration date
07/02/2013
Last updated
05/26/2023
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