Provider Demographics
NPI:1306334784
Name:FRENCH, BRANDON J
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:J
Last Name:FRENCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 S BEELINE HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-5486
Mailing Address - Country:US
Mailing Address - Phone:928-474-5158
Mailing Address - Fax:928-474-9512
Practice Address - Street 1:1107 S BEELINE HWY STE 3
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-5486
Practice Address - Country:US
Practice Address - Phone:928-474-5158
Practice Address - Fax:928-474-9512
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist