Individual
DEAN H BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2055 S PACHECO ST, SANTA FE, NM 87505-3997
(505) 473-0390
(505) 473-0375
Mailing address
2055 S PACHECO ST, SANTA FE, NM 87505-3997
(505) 473-0390
(505) 473-0375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4479
AZ
207Q00000X
Family Medicine Physician
Primary
A-1596-11
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132121
—
AZ
Enumeration date
10/11/2005
Last updated
10/06/2014
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