Individual provider · Type 1 NPI

Bruce A. Braswell, PA

Medical Physician Assistant · Sikeston, MO

NPI number 1619066024 Active

Practice location

1008 N Main St
Sikeston, MO 63801-5044

Call (573) 472-6001 Map

Fax (573) 472-6006

Mailing address

PO Box 65
Vandalia, IL 62471-0065

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X117542 (MO)
Medical Physician Assistant Primary 363AM0700X117542 (MO)

Medical Physician Assistant: Definition to come...

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About NPI 1619066024

Bruce A. Braswell, PA's National Provider Identifier is 1619066024, issued on Oct 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sikeston, MO. The record was last updated on Sep 22, 2009.