Charles Michael Braden, PA-C Valid NPI

Individual provider · Physician Assistant · Edmond, OK

NPI

1518498906

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

2784 (OK)

Sex

Male

Sole proprietor

No

Enumerated

2017-03-27

Last updated

2017-03-27