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Individual

BRAXTON LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1411 S POTOMAC ST STE 350, AURORA, CO 80012-4543
(720) 324-9380
Mailing address
4777 COUNTY ROAD 407, HANNIBAL, MO 63401-6509
(573) 822-6475

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTL.0020583
CO

Other

Enumeration date
05/20/2025
Last updated
05/20/2025
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