Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 47046 | AZ |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 47046 | AZ |
N | 2086S0105X | Surgery of the Hand | 47046 | AZ |
NPI | 1710151048 |
---|---|
Provider Name | Dr. Andrew Mark Braunstein |
First Address | Tucson, AZ 85751-1630 |
Second Address | Tucson, AZ 85712-2805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2008 |
Last Update Date | 01/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
781312 | (05) | AZ |