Individual
MR. BRANDON LEE CARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 MIDDLE RD, BETTENDORF, IA 52722-4104
(563) 554-9676
Mailing address
2629 LETAVILLE DR, MUSCATINE, IA 52761-8611
(563) 554-9676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
118760
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2021
Last updated
03/09/2023
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