Healthcare Provider Details

I. General information

NPI: 1740478304
Provider Name (Legal Business Name): WILLIAM A BRAUN CP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5880 W LAS POSITAS BLVD STE 31
PLEASANTON CA
94588-8552
US

IV. Provider business mailing address

5880 W LAS POSITAS BLVD STE 31
PLEASANTON CA
94588-8552
US

V. Phone/Fax

Practice location:
  • Phone: 925-734-0344
  • Fax:
Mailing address:
  • Phone: 925-734-0344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: