Gregory Charles Brant, DO Valid NPI

Individual provider · Family Medicine Physician · Ashtabula, OH

NPI

1275627598

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

34.003654 (OH)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-03

Last updated

2007-07-08