John J. Brantley in Pueblo - General Practice

John J. Brantley - NPI 1285662551

John J. Brantley is a General Practice in Pueblo, Colorado. John J. Brantley practices all healthcare services and medical treatments related to General Practice. The NPI Number for John J. Brantley is 1285662551. The last update date is 2007-07-08.

John J. Brantley's current location address is 1600 W 24th St, Pueblo, Colorado. You can contact this provider via phone number 7195464312 and fax number 7195464425. The mailing address for John J. Brantley is 1600 W 24th St, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name John J. Brantley
Address 1600 W 24th St, Pueblo, Colorado
Phone Number 7195464312
Fax Number 7195464425
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1285662551
Provider Enumeration Date 2006-06-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1600 W 24th St
City Pueblo
State Colorado (CO)
Post Code 810031411
Phone Number 7195464312
Fax Number 7195464425

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 21135
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about John J. Brantley

What is the unique provider identifier assigned to John J. Brantley?

The John J. Brantley has been issued the NPI (National Provider Identifier) 1285662551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where John J. Brantley is physically located?

The John J. Brantley is situated at the following address: 1600 W 24Th St, Pueblo, CO 810031411.

What is the John J. Brantley's specialty and taxonomy code?

The John J. Brantley's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.

On what date did John J. Brantley receive its 1285662551 assignment from the Centers for Medicare & Medicaid Services?

The John J. Brantley was assigned its 1285662551 on 2006-06-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to John J. Brantley most recently updated or revised?

The details related to John J. Brantley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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