# BRADEN DUNBAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265720395
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 218279362 | MO | Yes |
| 207Q00000X | Family Medicine Physician | 5101019408 | MI | — |

## Other

- **Enumeration date:** 07/11/2011
- **Last updated:** 01/16/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1265720395 | — | MO |