Gene D Branum PC

NPI #1164937496 in Ketchum, Idaho

Provider Information

NPI Number
1164937496
Entity Type
Organization
Organization Name
Gene D Branum PC
Primary Specialty
Surgery
Enumeration Date
Dec 8, 2017
Last Updated
Jun 5, 2020

Practice Location

Address
180 1ST ST W
Address 2
STE 301
State
Idaho
ZIP Code
83340-0180
Phone
(208) 726-3707

Authorized Official

Name
GENE DALE BRANUM, MD
Title
OWNER
Phone
(208) 726-3707

Specialties & Taxonomy Codes

Specialty
Surgery

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