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Individual
THOMAS ROSS BRASWELL
Active
Individual
THOMAS ROSS BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-5370
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102981001
—
AR
01
—
12321000000
QC
AR
01
—
428494
HEALTHLINK
AR
01
—
5397026
AETNA
AR
Enumeration date
07/14/2006
Last updated
07/19/2011
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