Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 2652 | AL |
NPI | 1649884750 |
---|---|
Provider Name | Dr. Brandon Beauvoir Arrieta |
First Address | Birmingham, AL 35211-1340 |
Second Address | Birmingham, AL 35211-1340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2020 |
Last Update Date | 04/09/2020 |