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Organization
BRAXTON F. CANN JR MD PC
Active
Organization
BRAXTON F. CANN JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAXTON F CANN JR. M.D. (PROVIDER)
(276) 679-0800
Entity
Organization
Contact information
Practice address
338 COEBURN AVE SW, NORTON, VA 24273-2606
(276) 679-0800
(276) 679-0096
Mailing address
338 COEBURN AVE SW, NORTON, VA 24273-2606
(276) 679-0800
(276) 679-0096
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006540228
—
VA
01
—
064298
ANTHEM
VA
Enumeration date
02/28/2007
Last updated
06/04/2009
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