MICAH DANIEL BRANDT
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1841973286- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1460 G ST, SPRINGFIELD, OR, 974774112
- Phone
- (541) 726-4400
Specialties & Taxonomies
Physician Assistant
Primary License: OR #PA227669