Individual
BRANDON ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(405) 892-7008
Mailing address
331 COUNTY ROAD 1180, MINCO, OK 73059-8018
(405) 892-7008
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
02/21/2024
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