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Organization
CAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC
Active
Organization
CAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC
Active
Other names
Nephrology Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK W BRAXTON M.D. (PRESIDENT/PHYSICIAN)
(573) 334-9564
Entity
Organization
Contact information
Practice address
1349 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1727
(573) 334-9564
(573) 334-1879
Mailing address
1349 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1727
(573) 334-9564
(573) 334-1879
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117672
BLUE CROSS BLUE SHIELD
MO
05
—
145675002
—
AR
05
—
500867403
—
MO
05
—
500908306
—
MO
01
—
5C446
BLUE CROSS BLUE SHIELD
AR
01
—
CI5170
RAIL ROAD MEDICARE
—
01
—
H8238
HEALTHLINK
MO
Enumeration date
05/12/2006
Last updated
03/27/2015
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