Individual
DR. JOHN PHILLIP BRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 RIVERGATE, SUITE 212, DURANGO, CO 81301-7487
(970) 259-2202
Mailing address
575 RIVERGATE, SUITE 212, DURANGO, CO 81301-7487
(970) 259-2202
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
52366
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93686854
—
CO
Enumeration date
08/12/2009
Last updated
02/16/2016
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