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Individual

RICHARD JACKSON BRANSFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 731-3462
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00040012
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD00040012
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457431421
WA
01
4516
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/16/2006
Last updated
09/26/2011
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