Individual
DR. GREGORY H BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L10, CREVE COEUR, MO 63141-6431
(314) 996-3880
(314) 996-8610
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 996-3880
(314) 996-8610
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
R4G73
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202593620
—
MO
Enumeration date
07/18/2006
Last updated
04/15/2025
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