Individual
PATRICK SHEA BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 W VAN ASCHE LOOP, FAYETTEVILLE, AR 72703-4996
(479) 966-4491
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2015-00204
NC
207X00000X
Orthopaedic Surgery Physician
Primary
E-13107
AR
207X00000X
Orthopaedic Surgery Physician
MD422606
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356661680
—
NC
05
—
NC2406
—
SC
Enumeration date
01/16/2007
Last updated
07/23/2020
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