DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRANDIE LAUREN FIRETAG, MD

Active Sole Proprietor

Anatomic Pathology · SAN LUIS OBISPO, CA

Registration Details

NPI Number
1427385475
Provider Type
Individual
Gender
Female
NPI Issued
Nov 12, 2009 (16.44144315258 yrs)
Last Updated
Jun 21, 2024
Licenses
A112721 (CA)
A112721 (CA)
A112721 (CA)
Sole Proprietor
Yes

Practice Information

Address
3701 S HIGUERA ST
SAN LUIS OBISPO, CA, 93401
Browse CA providers · Browse ZIP 93401
Phone
8055416033
Primary Specialty
Anatomic Pathology
207ZP0101X
Additional Specialty
Clinical Pathology
Additional Specialty
Anatomic Pathology

Other Anatomic Pathology Providers in SAN LUIS OBISPO, CA

Name Credential NPI
DR. CARL E JOHNSON M.D. 1487679684
DR. ZOLTAN NAGYMANYOKI M.D., PH.D. 1275855488
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.