BRANDON FAIRLESS

NEW ORLEANS, LA
NPI1659802502
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: LA  322248)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-22
Last Update Date2020-06-29
Business Address
Dr. BRANDON FAIRLESS M.D.
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118-5720
Phone number: 504-899-9511
Mailing Address
Dr. BRANDON FAIRLESS M.D.
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118-5720
Phone number: 504-899-9511
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