SCOTT M BRANNAN

MODERN VASCULAR OF MESA, LLC

Dr SCOTT M BRANNAN is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2004.

Contact

MODERN VASCULAR OF MESA, LLC

535 E MCKELLIPS RD
BLDG S
MESA
AZ
852032522

Tel: 8189492632

SCOTT M BRANNAN Information

Npi 1033369707
Pac Id 4688866619
Professional Enrollment Id I20120730000756
Last Name BRANNAN
First Name SCOTT
Middle Name M
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2004
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MODERN VASCULAR OF MESA, LLC
Group Practice Pac Id 0446537948
Number Of Group Practice Members 11
Line 1 Street Address 535 E MCKELLIPS RD
Line 2 Street Address BLDG S
Marker Of Address Line 2 Suppression
City MESA
State AZ
Zip Code 852032522
Phone Number 8189492632
Hospital Affiliation Ccn 1 030121
Hospital Affiliation Lbn 1 MOUNTAIN VISTA MEDICAL CENTER, LP
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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