Individual
MR. DAVID LESLIE BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 W 46TH ST N, WICHITA, KS 67204-2804
(316) 832-0056
(316) 832-0056
Mailing address
812 W 46TH ST N, WICHITA, KS 67204-2804
(316) 832-0056
(316) 832-0056
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KS
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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