Individual
DR. PAUL L BRAITHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5393
Mailing address
2425 W BARD RANCH RD, PRESCOTT, AZ 86305-4706
(928) 771-5232
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
005398
AZ
Other
Enumeration date
08/15/2005
Last updated
07/19/2020
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