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Dr. Jacob Alexander Braddock, DO
Student in an Organized Health Care Education/Training Program in Williamsburg, Pennsylvania
NPI 1801470984

Jacob Alexander Braddock is a Student in an Organized Health Care Education/Training Program based in Pittsburgh, PA. Jacob Alexander Braddock practices in Williamsburg, PA and has the professional credentials of DO. The NPI Number for Jacob Alexander Braddock is 1801470984 and holds a License No. (Pennsylvania).

The current practice location address for Jacob Alexander Braddock is 306 Plum St, Williamsburg, PA and can be reached out via phone at 814-832-3405.

Location: 306 Plum St, Williamsburg, PA, 15213-3410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801470984
Provider Name
Jacob Alexander Braddock
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
306 Plum St, Williamsburg, PA, 15213-3410
Phone Number
814-832-3405
Fax Number
Provider Enumeration Date
05/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
306 Plum St
City
Williamsburg
State
Pennsylvania
Zip
16693-1116
Phone Number
814-832-3405
Fax Number
person
Provider Business Mailing Address Details
Address
306 Plum St
City
Williamsburg
State
Pennsylvania
Zip
16693-1116
Phone Number
814-832-3405
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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