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1023164613
BRANT DAVID WOMMACK
BEND, OR
NPI
1023164613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OR MD151046)
Enumeration Date
2007-01-26
Last Update Date
2023-03-02
Business Address
Dr. BRANT DAVID WOMMACK MD
1460 NE MEDICAL CTR DR
BEND, OR 97701-6061
Phone number: 541-382-6633
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Mailing Address
Dr. BRANT DAVID WOMMACK MD
1460 NE MEDICAL CTR DR
BEND, OR 97701-6061
Phone number: 541-382-6633
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