Individual
DEREK BRANSCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMP
Contact information
Practice address
218 DOGWOOD HOLLOW RD, MOUNTAIN VIEW, AR 72560-7942
(870) 269-7732
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/29/2008
Last updated
05/20/2008
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