Brent Jacob Brosnan

NPI #1205627494 in Heppner, Oregon

Provider Information

NPI Number: 1205627494
Entity Type: Individual
Name: Brent Jacob Brosnan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: May 15, 2025
Last Updated: May 15, 2025

Practice Location

Address: 68982 WILLOW CREEK RD # 536
City: Heppner
State: Oregon
ZIP Code: 97836-6258
Phone: (541) 676-5125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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