Individual
ANTONIUS D BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5887 BROCKTON AVE, RIVERSIDE PSYCHIATRIC MEDICAL GROUP STE A, RIVERSIDE, CA 92506
(951) 275-8500
(951) 275-8560
Mailing address
5887 BROCKTON AVE, RIVERSIDE PSYCHIATRIC MEDICAL GROUP STE A, RIVERSIDE, CA 92506
(951) 275-8500
(951) 275-8560
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY12281
CA
Other
Enumeration date
09/11/2006
Last updated
04/29/2008
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