Dr. Gregory H Branham
Plastic Surgeon (Head & Neck)
1044 N Mason Rd Ste L10
Creve Coeur
, Missouri 63141-6431
Dr. Gregory H Branham
Plastic Surgeon (Head & Neck)
1044 N Mason Rd Ste L10
Creve Coeur
, Missouri 63141-6431
(314) 432-8208
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Gregory H Branham
- 660 S Euclid Ave Cb 8115
- Saint Louis, MO
- Zip : 63110-1010
- Fax : (314) 432-8208
- Phone : (314) 432-7760
Second Address
- Dr. Gregory H Branham
- 1044 N Mason Rd Ste L10
- Creve Coeur, MO
- Zip : 63141-6431
- Fax : (314) 996-8610
- Phone : (314) 996-3880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | R4G73 | MO |
National Provider Identifier
| NPI | 1477571198 |
|---|---|
| Provider Name | Dr. Gregory H Branham |
| First Address | Saint Louis, MO 63110-1010 |
| Second Address | Creve Coeur, MO 63141-6431 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 15/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 202593620 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.