Individual
MR. BRENT JOSEPH DARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
5450 FRANTZ RD, STE 360, DUBLIN, OH 43016-4141
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003206
OH
363AM0700X
Medical Physician Assistant
50.003206
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118789
—
OH
01
—
H44550
MEDICARE PTAN
OH
Enumeration date
10/21/2010
Last updated
04/02/2020
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