Individual provider · NPI-1
Charles Braun, MD
Internal Medicine, Critical Care Medicine · Farmington, NM
NPI number1841278231
StatusActive
Last updated in NPPESOct 29, 2009
Details
- NPI
- 1841278231
- Entity type
- Individual (NPI-1)
- Name
- Charles Braun
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2006
- Last updated
- Oct 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | 82-15 | NM | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 82-15 | NM |
Practice location
801 W Maple StSan Juan Regional Medical Center / Hospitalists
Farmington, NM 87401-5630
Phone 505-609-6463
Mailing address
Po Box 6210Farmington, NM 87499-6210
Phone 505-609-2258 · Fax 505-609-2259
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