Individual
BRANDON DOUGLAS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3527 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-5901
(573) 882-8910
(573) 884-1585
Mailing address
P.O. BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023003250
MO
Other
Enumeration date
12/05/2022
Last updated
03/06/2025
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