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DAVID A BRAUNER DO
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1346213196
Individual Registrant: DAVID A BRAUNER DO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3260 PROVIDENCE DR STE 321 ANCHORAGE, AK 99508 US
Tel: 907-261-3655 Fax: 907-261-3160
Tel: 907-261-3655 Fax: 907-261-3160
Contact information for business:
PO BOX 200368 ANCHORAGE, AK 99520-0368 US
Tel: 907-770-2380 Fax: 907-770-2390
Tel: 907-770-2380 Fax: 907-770-2390
Registration Information:
NPI: 1346213196
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | AK | 2018 |
| Y | 2080P0202X | Allopathic & Osteopathic Physicians Pediatrics | AK | 2018 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MD9968 | AK | 05 |
