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DR. EVAN BRANSCUM MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1437679651

Individual Registrant:
DR. EVAN  BRANSCUM MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
715 W SHERMAN AVE STE H  HARRISON, AR 72601-2737 US
Tel: 870-743-9744  Fax: --

Contact information for business:
PO BOX 4046  SPRINGFIELD, MO 65808-4046 US
Tel: 417-269-5712  Fax: 417-269-7567

Registration Information:
NPI: 1437679651
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MO2017019205

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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