Doctor Name: | ASHLEY BRANCH |
NPI Number: | 1295056372 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0116022453 |
Business Practice Address: | 3020 Henderson Rd Alton, VA - 245203544 |
Business Phone Number: | 8042769305 |
Business Fax Number: | |
Mailing Address: | 3020 Henderson Rd, ALTON |
State: | VA |
Postal Code: | 245203544 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/12/2010 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0116022453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |