Brandie Firetag, MD
NPI 1427385475 · Anatomic Pathology Physician · San Luis Obispo, CA
Brandie Firetag, MD is a Anatomic Pathology Physician provider in San Luis Obispo, CA (NPI 1427385475).
Provider details
- NPI number
- 1427385475
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- A112721 (CA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-11-12
- Last updated
- 2024-06-21
- Certified
- 2024-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.