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Individual

DR. GARRY W. BRANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
850 S IRONWOOD DR, SUITE 112, APACHE JUNCTION, AZ 85120-6242
(480) 983-1680
(480) 983-1681
Mailing address
850 S IRONWOOD DR, SUITE 112, APACHE JUNCTION, AZ 85120-6242
(480) 983-1680
(480) 983-1681

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3316
AZ
225100000X
Physical Therapist
RPT754
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679852289
BCBS
AZ
01
943337052
TRICARE/LIFE/STANDARD
AZ
Enumeration date
01/10/2006
Last updated
03/27/2015
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