Provider Demographics
NPI:1922181882
Name:DEMAIN, BRIAN KEITH (CPO)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:KEITH
Last Name:DEMAIN
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2054 FOSTORIA CIR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-5559
Mailing Address - Country:US
Mailing Address - Phone:510-222-1282
Mailing Address - Fax:510-222-1284
Practice Address - Street 1:2970 HILLTOP MALL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-1947
Practice Address - Country:US
Practice Address - Phone:510-222-1282
Practice Address - Fax:510-222-1284
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management