MR. Brandon Richard Allen Wire, PA-C

NPI #1841748175 in Hudson, Ohio

Provider Information

NPI Number: 1841748175
Entity Type: Individual
Name: MR. Brandon Richard Allen Wire, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 15, 2016
Last Updated: Sep 15, 2016

Practice Location

Address: 5700 DARROW RD
Address 2: #106
City: Hudson
State: Ohio
ZIP Code: 44236-5026
Phone: (330) 656-5911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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