Individual
JOHN ROBERT BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPARTMENT OF PEDIATRICS MSC10 5590, 1 UNIVERSITY NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6632
Mailing address
933 BRADBURY DRIVE, SUITE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
91-171
NM
Other
Enumeration date
08/01/2006
Last updated
05/15/2012
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