CARL SAMUEL BRAYTON

IDAHO FALLS, ID
NPI1003617192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-24
Last Update Date2025-03-24
Business Address
CARL SAMUEL BRAYTON DO
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 714-616-4454
Mailing Address
CARL SAMUEL BRAYTON DO
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: