Individual
MR. BRAXTON M PONDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
475 LEWIS STREET, SUITE 207, PAGOSA SPRINGS, CO 81147-0232
(970) 264-1172
Mailing address
68 TWINCREEK CIR, PAGOSA SPRINGS, CO 81147-8335
(970) 264-1172
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-1125
CO
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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