Branham, Gregory H

Branham, Gregory H is an individual health care provider with primary practice located at 1044 N Mason Rd Dept Otolaryngology, Ste L10, Creve Coeur MO 63141-6431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Branham, Gregory H can be contacted via phone (314) 996-3880.

Contact Information

Primary practice address
1044 N Mason Rd Dept Otolaryngology, Ste L10 Creve Coeur MO 63141-6431
Phone: (314) 996-3880
Fax: (314) 996-8610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X R4G73 Missouri

Profile Details

NPI number 1477571198
LBN Legal business name Branham, Gregory H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477571198 NPPES
Missouri MEDICAID 202593620

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