Individual
LOWELL PARDEE BRANSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
0.D.
Contact information
Practice address
8332 N 7TH ST, PHOENIX, AZ 85020-3441
(602) 944-2656
(602) 870-4605
Mailing address
8332 N 7TH ST, PHOENIX, AZ 85020-3441
(602) 944-2656
(602) 870-4605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0022
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035594
AHCCCS
AZ
01
—
0450860001
DMERC
AZ
Enumeration date
07/13/2005
Last updated
07/08/2007
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