Jeffery T Braham, DO
Family Medicine in Vienna, WV. Individual provider (NPI-1).
NPI number1790788545
StatusActive
Last updated in NPPESSep 15, 2022
Details
- NPI
- 1790788545
- Entity type
- Individual (NPI-1)
- Name
- Jeffery T Braham
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2005
- Certification date
- Sep 15, 2022
- Last updated
- Sep 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1492 | WV | Yes |
| 207Q00000X | Family Medicine | 34.008763 | OH |
Practice location
800 Grand Central MallSuite 4
Vienna, WV 26105-4131
Phone 304-485-3300 · Fax 304-485-3317
Mailing address
800 Grand Central MallSuite 4
Vienna, WV 26105-4131
Phone 304-485-3300 · Fax 304-485-3317
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