Whalio Doctors

NPI 1013905140

Michael D Brennand, PAC

Practitioner Physician Assistant Albuquerque, NM

Practice location

Address
1101 Central SE Pmg Emergency Medicine, Albuquerque, NM 87106
Phone
(505) 841-1125
Fax
(505) 841-1737
Mailing address
PO Box 26666 Phs Provider Enrollment, Albuquerque, NM 87125-6666

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2006-0047

Registry record

NPI
1013905140
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Oct 2005
Record last updated
1 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.