SearchNorth Carolina1710I1002X

Theodore Branch

NPI 1922690072 · on the registry since 2021

Practice

Address
Commanind Offcer 2d Reconnaissance Battalion
Camp Lejuene, NC 28546
Phone
(201) 951-8952

Registry record

Primary taxonomy
1710I1002X
1710I1002X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-10

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 North Carolina