Larry E Bragg LLC

NPI #1235529173 in Kearney, Nebraska

Provider Information

NPI Number
1235529173
Entity Type
Organization
Organization Name
Larry E Bragg LLC
Primary Specialty
Surgery
Enumeration Date
Jan 30, 2015
Last Updated
Mar 17, 2015

Practice Location

Address
3515 30TH AVE
ZIP Code
68845-2298
Phone
(308) 865-2670

Authorized Official

Name
LARRY E BRAGG
Title
SOLE MEMBER
Phone
(308) 627-5817

Specialties & Taxonomy Codes

Specialty
Surgery

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