Brandon Fordham, D.O.

NPI #1497173280 in Joplin, Missouri

Provider Information

NPI Number: 1497173280
Entity Type: Individual
Name: Brandon Fordham, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: D.O.
Enumeration Date: Mar 31, 2014
Last Updated: Jul 30, 2018

Practice Location

Address: 1102 W 32ND ST
City: Joplin
State: Missouri
ZIP Code: 64804
Phone: (417) 347-1078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Anesthesiology	207L00000X	Primary

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