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Individual

DAVID B. BRANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12985844-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2021
Last updated
08/17/2022
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