Individual
DR. BRAXTON HENRY DEGARMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
433 CARSON RD, SAINT LOUIS, MO 63135-2317
(314) 522-3957
(314) 522-3957
Mailing address
433 CARSON RD, FERGUSON, MO 63135-2317
(314) 229-2939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R7F46
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202273629
—
MO
05
—
202273637
—
MO
Enumeration date
06/22/2006
Last updated
02/06/2016
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