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Mr. Brandon Soule', PA-C
Medical Physician Assistant in La Plata, Maryland
NPI 1689962581

Brandon Soule' is a Medical Physician Assistant based in La Plata, MD and is specialized in Medical. Brandon Soule' practices in La Plata, MD and has the professional credentials of PA-C. The NPI Number for Brandon Soule' is 1689962581 and holds a License No. 6134 (Maryland).

The current practice location address for Brandon Soule' is Po Box 51, La Plata, MD and can be reached out via phone at 410-209-4428.

Location: Po Box 51, La Plata, MD, 20646-0051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689962581
Provider Name
Brandon Soule'
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
Po Box 51, La Plata, MD, 20646-0051
Phone Number
410-209-4428
Fax Number
Provider Enumeration Date
07/13/2011
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
QW258 01 FL HFMG MA
institution
Provider Business Practice Location Address Details
Address
Po Box 51
City
La Plata
State
Maryland
Zip
20646-0051
Phone Number
410-209-4428
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 51
City
La Plata
State
Maryland
Zip
20646-0051
Phone Number
410-209-4428
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
6134 (Connecticut)
Definition
Definition to come...
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