Individual
DIANE BRANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
(814) 946-1655
Mailing address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA002052
PA
Other
Enumeration date
03/21/2006
Last updated
05/24/2021
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