DR. Brant David Wommack, MD

NPI #1023164613 in Bend, Oregon

Provider Information

NPI Number
1023164613
Entity Type
Individual
Name
DR. Brant David Wommack, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Radiology - Diagnostic Radiology
Credential
MD
Enumeration Date
Jan 26, 2007
Last Updated
Mar 2, 2023

Practice Location

Address
1460 NE MEDICAL CTR DR
City
Bend
State
Oregon
ZIP Code
97701-6061
Phone
(541) 382-6633

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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