Search › Montana › 207P00000X
Jack Branston, MD
NPI 1518464643 · on the registry since 2018
Practice
- Address
- 500 W Broadway St
Missoula, MT 59802 - Phone
- (406) 329-5635
- Fax
- (406) 327-2160
- Organisation at this address
- Credena Health Llc
Credena Health Llc
Credena Health Llc
Missoula Radiology Pc
Western Montana ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 269
Additional practice sites
- 30 N 1900 E Rm 1c026, Salt Lake City, UT
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
- Licence states on file
- UT, MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana