BRANDON RICHARD LEWIS DEATHERAGE

TUCSON, AZ
NPI1730877853
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: AZ  R4027)
Enumeration Date2023-04-26
Last Update Date2023-04-26
Business Address
Dr. BRANDON RICHARD LEWIS DEATHERAGE DO
1625 N CAMPBELL AVE
TUCSON, AZ 85719-4330
Phone number: 520-694-0111
Mailing Address
Dr. BRANDON RICHARD LEWIS DEATHERAGE DO
1501 N CAMPBELL AVE RM 6207
TUCSON, AZ 85724-0001
Phone number: 520-626-1376
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