Individual
MR. BRANDON MALONE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEALTH SERVICE TECHN
Contact information
Practice address
907 W. 9TH ST., JUNEAU, AK 99801
(907) 463-2152
Mailing address
PO BOX 25517, JUNEAU, AK 99802-5517
(907) 463-2152
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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