Individual
JACK W BRAND JR.
Active
Individual
JACK W BRAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10246
MS
207RC0000X
Cardiovascular Disease Physician
11555
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05025093
—
MS
01
—
1194874222
GROUP NPI
MS
01
—
C02478
GROUP MEDICARE
—
Enumeration date
06/08/2005
Last updated
07/19/2012
Update your record
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