Individual
MR. BREHON CHARLES ALLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2979 VICTORIA ST, BETTENDORF, IA 52722-2784
(563) 332-8528
(563) 332-9331
Mailing address
2979 VICTORIA ST, BETTENDORF, IA 52722-2784
(563) 332-8528
(563) 332-9331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A135733
IA
Other
Enumeration date
04/03/2007
Last updated
08/25/2015
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