BRENT DEMANBY

NEW YORK, NY
NPI1417547555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  1180085)
Enumeration Date2021-01-22
Last Update Date2021-01-22
Business Address
BRENT DEMANBY PA-C
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
Mailing Address
BRENT DEMANBY PA-C
2060 JUBILANT AVE
MEDFORD, OR 97504-4756
Phone number: 541-840-9716