Dr. David A Branch, M.D.
Specialist in Bangor, ME. Individual provider (NPI-1).
NPI number1346337151
StatusActive
Last updated in NPPESMay 18, 2012
Details
- NPI
- 1346337151
- Entity type
- Individual (NPI-1)
- Name
- Dr. David A Branch
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2006
- Last updated
- May 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 015284 | ME | Yes |
Practice location
55 BroadwayBangor, ME 04401-5201
Phone 207-947-5657 · Fax 207-947-1894
Mailing address
55 BroadwayBangor, ME 04401-5201
Phone 207-947-5657 · Fax 207-947-1894
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