Provider Demographics
NPI:1831862143
Name:BRANDT, QUINN DAVID (PA-C)
Entity type:Individual
Prefix:MR
First Name:QUINN
Middle Name:DAVID
Last Name:BRANDT
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:20 NEWMAN AVE UNIT 1202
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-1995
Mailing Address - Country:US
Mailing Address - Phone:206-909-6248
Mailing Address - Fax:
Practice Address - Street 1:4801 E LINWOOD BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-2226
Practice Address - Country:US
Practice Address - Phone:206-909-6248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-01
Last Update Date:2021-08-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant