BRAXTON LONG

AURORA, CO
NPI1467244970
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CO  PTL.0020583)
Enumeration Date2025-05-20
Last Update Date2025-05-20
Business Address
BRAXTON LONG
1411 S POTOMAC ST STE 350
AURORA, CO 80012-4543
Phone number: 720-324-9380
Mailing Address
BRAXTON LONG
4777 COUNTY ROAD 407
HANNIBAL, MO 63401-6509
Phone number: 573-822-6475
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