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DR. MARC STEVEN BRACY MD
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1770528457
Individual Registrant:DR. MARC STEVEN BRACY MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1133 W SYCAMORE STREET WILLOWS, CA 95988 US
Tel: 530-934-1800 Fax: 530-934-1865
Tel: 530-934-1800 Fax: 530-934-1865
Contact information for business:
PO BOX 661972 ARCADIA, CA 91066-1972 US
Tel: 626-447-0296 Fax: 626-447-6057
Tel: 626-447-0296 Fax: 626-447-6057
Registration Information:
NPI: 1770528457
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | CA | G77398 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00G773980 | CA | 05 |
