Mr Brandon Pomaikai Penebacker, PA-C | |
Tagayta Dr Bldg C-1722, Fort Bragg, NC 28310-0001 | |
(910) 907-8282 | |
Not Available |
Full Name | Mr Brandon Pomaikai Penebacker |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | Tagayta Dr Bldg C-1722, Fort Bragg, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962754820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Mr Brandon Pomaikai Penebacker, PA-C 504 Murray Fork Dr, Fayetteville, NC 28314-0958 Ph: (910) 973-2530 | Mr Brandon Pomaikai Penebacker, PA-C Tagayta Dr Bldg C-1722, Fort Bragg, NC 28310-0001 Ph: (910) 907-8282 |
Mr. Brent Francis Bachman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2817 Reilly Street, Fort Bragg, NC 28310 Phone: 910-907-8617 | |
Mr. Thomas Jones Matherly, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Road, Womack Army Medical Center Dooh Pes Meb, Fort Bragg, NC 28310 Phone: 910-907-8602 Fax: 910-907-8602 | |
Mr. Kurt Hammermueller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2817 Reilly Rd, Wamcak Army Medical Center, Fort Bragg, NC 28310 Phone: 910-951-4393 Fax: 910-907-4222 | |
Ms. Keisha Lachanda Cohen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Robert Scott Blough, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 | |
Mr. Charles Manson Wyatt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: M-48611 Logistics Ave, Joel Health Clinic, Fort Bragg, NC 28310 Phone: 910-907-9166 | |
Mr. Rolands Jeffrey Dale, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly St, Stop A, Fort Bragg, NC 28310 Phone: 910-907-8922 |