Individual
MR. JOHN S BRAXTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
253 LEWIS LN, SUITE 202, HAVRE DE GRACE, MD 21078-3750
(443) 502-7060
(410) 378-9922
Mailing address
PO BOX 99, CONOWINGO, MD 21918-0099
(410) 378-9696
(410) 378-9922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000645
MD
Other
Enumeration date
05/24/2005
Last updated
12/15/2015
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