Roger E Brazelton

NPI #1386083103 in Cody, Wyoming

Provider Information

NPI Number: 1386083103
Entity Type: Individual
Name: Roger E Brazelton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Jun 14, 2013
Last Updated: Jun 14, 2013

Practice Location

Address: 2713 COUGAR AVE
City: Cody
State: Wyoming
ZIP Code: 82414-8400
Phone: (307) 587-5112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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