Organization
TIFFANY L BRAINERD MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY L BRAINERD MD (SOLE MBR)
(573) 686-5550
Entity
Organization
Contact information
Practice address
575 RIVERGATE, DURANGO, CO 81301-7487
(573) 686-5550
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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