BRANDON RICHARD HARTHAN

NEW ORLEANS, LA
NPI1649715434
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  333701)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096004193)
Enumeration Date2017-01-03
Last Update Date2022-10-12
Business Address
BRANDON RICHARD HARTHAN PA-C
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118-5798
Phone number: 504-899-3496
Mailing Address
BRANDON RICHARD HARTHAN PA-C
1490 DOUGLAS DR LINGLE HALL 118, MC 6620
CARBONDALE, IL 62901-4332
Phone number: 618-453-4163