DEMETRIUS BRAXTON
NPI 1467800326
Specialist in Saint Louis, MO
- Individual
- Male
- Specialist
About DEMETRIUS BRAXTON
This page provides the complete NPI Profile along with additional information for Demetrius Braxton, a provider established in Saint Louis, Missouri with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1467800326 assigned on June 2016. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1467800326 Verify this NPI
- Provider Name
- DEMETRIUS BRAXTON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2612 WYOMING ST SAINT LOUIS, MO 63118
- Location Phone
- (314) 588-7111
- Mailing Address
- 2612 WYOMING ST SAINT LOUIS, MO 63118
- Mailing Phone
- (314) 588-7111
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-01-2016
- Last Update Date
- 06-01-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467800326, enumerated as an "individual" on June 01, 2016.
The provider is located at 2612 WYOMING ST SAINT LOUIS, MO 63118 and the phone number is (314) 588-7111.
Specialist with taxonomy code 174400000X.
