Individual
EDWARD L. BRAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 S FREMONT AVE, STE 1000, SPRINGFIELD, MO 65804-2206
(417) 820-8099
(417) 820-8093
Mailing address
620 S GLENSTONE AVE, SPRINGFIELD, MO 65802-3206
(417) 829-4246
(417) 829-4332
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036-066106
IL
207RH0003X
Hematology & Oncology Physician
Primary
2012003219
MO
207RH0003X
Hematology & Oncology Physician
M-11165
ID
207RX0202X
Medical Oncology Physician
24692
WV
Other
Enumeration date
08/30/2006
Last updated
09/07/2016
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