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Anthony Brandon, ETC
NPI 1588834683 · on the registry since 2008 · sole proprietor
Practice
- Address
- 323 E Clinton Pl
Saint Louis, MO 63122 - Phone
- (314) 565-0560
- Fax
- (314) 822-4612
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri