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1821708496
BRANDON DOUGLAS LEWIS
COLUMBIA, MO
NPI
1821708496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2023003250)
Enumeration Date
2022-12-05
Last Update Date
2024-08-15
Business Address
BRANDON DOUGLAS LEWIS PA-C
551 VETERANS UNITED DR
COLUMBIA, MO 65201-4236
Phone number: 573-884-7733
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Mailing Address
BRANDON DOUGLAS LEWIS PA-C
P.O. BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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