Individual
MICHAEL BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10757 ELK LAKE DR, LAS VEGAS, NV 89144-4442
(702) 672-2444
Mailing address
10757 ELK LAKE DR, LAS VEGAS, NV 89144-4442
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
201243
OH
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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