Individual
GLENN ALAN BRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 332-8500
(573) 335-5080
Mailing address
1 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 332-8500
(573) 335-5080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T2837
MO
Other
Enumeration date
06/28/2005
Last updated
07/29/2016
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