Individual
DR. MARK BRASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2020037447
MO
207N00000X
Dermatology Physician
Primary
27434
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2015
Last updated
05/22/2026
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