BRAXTON SIMPSON

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1104700038

Practice Address

921 S 8TH AVE STOP 8253
Pocatello, ID 83209

Phone: (208) 282-4726

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1104700038 is the National Provider Identifier for BRAXTON SIMPSON, a Student in an Organized Health Care Education/Training Program provider located in Pocatello, ID. This NPI was enumerated on August 4, 2025.
BRAXTON SIMPSON practices at 921 S 8TH AVE STOP 8253, Pocatello, ID 83209.

Quick Facts

NPI
1104700038
Type
Individual
Enumerated
Aug 4, 2025
Last Updated
Aug 4, 2025

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