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Individual

GEORGE C BRANCHE

Active
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Individual

GEORGE C BRANCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101041029
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101041029
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0013
CIGNA
VA
01
053885
ANTHEM
VA
01
0736883
AETNA HMO
01
108242
AMERIGROUP
01
200039700
RAILROAD MEDICARE
01
212635
MAMSI
01
2509-0024
CAREFIRST ID#
01
4051008
AETNA PPO
Enumeration date
03/14/2006
Last updated
03/24/2023
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