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Individual

MR. HAROLD WILKES BRANCH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
47 HIGHWAY 64 W, BEEBE, AR 72012-9500
(501) 882-3388
(501) 882-3300
Mailing address
PO BOX 783, BEEBE, AR 72012-0783
(501) 882-3388
(501) 882-3300

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3831
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03120012000
QUALCHOICE
AR
01
100212
UNITED HEALTHCARE
AR
05
152434001
AR
01
652514
HEALTHLINK
AR
01
7839508
AETNA
AR
Enumeration date
06/15/2006
Last updated
05/21/2008
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