Individual
DR. JOHN ROBERT BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(740) 446-5387
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
03419
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094527
—
OH
05
—
7100175030
—
KY
Enumeration date
05/05/2009
Last updated
11/25/2020
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