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Individual
DR. JEFFREY MERLE BRAATEN
Active
Individual
DR. JEFFREY MERLE BRAATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H2048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109019100
FIRST CARE
TX
01
—
110138414
RR MEDICARE
TX
01
—
123014
SUPERIOR
TX
05
—
126524103
—
TX
Enumeration date
05/18/2006
Last updated
02/21/2012
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