Individual
BRANDYN P BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
551 VETERANS UNITED DR, COLUMBIA, MO 65201-4236
(573) 882-2511
(573) 884-4515
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019009234
MO
Other
Enumeration date
03/18/2019
Last updated
08/18/2025
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