Dr John G Branz | |
413 Pine St Wallace ID 83873-2256 | |
(208) 752-4681 | |
(208) 752-1259 |
Full Name | Dr John G Branz |
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Speciality | Dentist |
Location | 413 Pine St, Wallace, Idaho |
Authorized Official Name and Position | John Guy Branz (OWNER) |
Authorized Official Contact | 2087524681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr John G Branz 413 Pine Street Wallace ID 83873 Ph: (208) 752-4681 | Dr John G Branz 413 Pine St Wallace ID 83873-2256 Ph: (208) 752-4681 |
NPI Number | 1851550800 |
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Provider Enumeration Date | 06/05/2008 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851550800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Idaho) | Primary |