Individual
MARY BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6000
Mailing address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2026005480
MO
363A00000X
Physician Assistant
Primary
—
MO
Other
Enumeration date
01/15/2026
Last updated
04/22/2026
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