NPI 1417942095

Stacey Lynn Branch, DOMPH

Practitioner Aerospace Medicine Physician Wright Patterson Afb, OH

Practice location

Address: 88 Mdg/Sghj 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: (937) 938-2735

Registered specialties

Aerospace Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 5101014465 (MI)

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Registry record

NPI: 1417942095
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2005
Record last updated: 13 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.