Dr. Mark Braswell
Dermatologist
310 W Losey St
Scott Afb
, Illinois 62225-5250
Dr. Mark Braswell
Dermatologist
310 W Losey St
Scott Afb
, Illinois 62225-5250
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Mark Braswell
- 310 W Losey St
- Scott Afb, IL
- Zip : 62225-5250
- Phone :
Second Address
- Dr. Mark Braswell
- 310 W Losey St
- Scott Afb, IL
- Zip : 62225-5250
- Phone : (618) 256-7571
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 27434 | MS |
National Provider Identifier
| NPI | 1023409422 |
|---|---|
| Provider Name | Dr. Mark Braswell |
| First Address | Scott Afb, IL 62225-5250 |
| Second Address | Scott Afb, IL 62225-5250 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2015 |
| Last Update Date | 30/07/2020 |
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.