NPI 1184616344
Paul L Braithwaite, DO
Practice location
- Address
- 1003 Willow Creek Rd, Prescott, AZ 86301-1641
- Phone
- (928) 771-5393
- Mailing address
- 2425 W Bard Ranch Rd, Prescott, AZ 86305-4706
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1184616344
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Aug 2005
- Record last updated
- 19 Jul 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.