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Individual

DR. PETER WARREN BRANDRUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
720 WILLOW GLEN DR, EL PASO, TX 79922-2903
(703) 861-2149
Mailing address
720 WILLOW GLEN DR, EL PASO, TX 79922-2903
(703) 861-2149

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02002831A
IN
207L00000X
Anesthesiology Physician
Primary
M7871
TX

Other

Enumeration date
09/20/2006
Last updated
10/13/2011
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