Whalio Doctors

NPI 1184616344

Paul L Braithwaite, DO

Practitioner Anesthesiology Physician Prescott, AZ

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
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 005398 (AZ)

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.