Individual
BRAXTON FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7700 UNIVERSITY DR, WEST CHESTER, OH 45069-2505
(513) 475-8248
(513) 475-8468
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3031
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35136388
OH
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35136388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0388041
—
OH
Enumeration date
04/07/2015
Last updated
06/15/2023
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