Individual
PHILLIP BRAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7 WOODMORE DR, HANOVER, NH 03755-1320
(603) 667-1426
Mailing address
24 AIRPORT RD, WEST LEBANON, NH 03784-1663
(603) 298-6617
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/01/2019
Last updated
12/03/2019
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