| Doctor Name: | DR. BRANDON SCOTT ELROD |
| NPI Number: | 1588981500 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 02003897A |
| Business Practice Address: | 9040 Fitzsimmons Dr Tacoma, WA - 984311000 |
| Business Phone Number: | 9152527076 |
| Business Fax Number: | |
| Mailing Address: | 9040 Fitzsimmons Dr, Okubo Clinic JOINT BASE LEWIS MCCHORD |
| State: | WA |
| Postal Code: | 984311000 |
| Phone Number: | 9152527076 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2010 |
| NPI Last Update Date: | 11/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 02003897A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |