John Phillip Brach M.D.

NPI 1699907469 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1699907469
Gender Male
Enumeration Date 08/12/2009
Last Updated 02/16/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
575 RIVERGATE
SUITE 212
DURANGO CO, 81301-7487, US
Phone (970) 259-2202
Fax
Business Location
575 RIVERGATE
SUITE 212
DURANGO CO, 81301-7487, US
Phone (970) 259-2202
Fax
Toxanomy
Taxonomy Code 390200000X
License State Texas
License Number BP10035378
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According to our database, Dr. John Phillip Brach M.D. NPI is 1699907469, taxonomy code is 390200000X and license number is BP10035378, license state is located at Texas. John Phillip Brach M.D. physically located at 575 Rivergate, Durango CO, 81301-7487. NPI Number John Phillip Brach M.D. has the Individual type.

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1699907469 NPI number is provided on an as is basis without warranty of any kind. 1699907469 is maintained by the National Plan & Provider Enumeration System. The contents of John Phillip Brach M.D. are for informational purposes only.