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DR. MARC STEVEN BRACY MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1770528457

Individual Registrant:
DR. MARC STEVEN BRACY MD
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

Contact information for business:
PO BOX 661972  ARCADIA, CA 91066-1972 US
Tel: 626-447-0296  Fax: 626-447-6057

Registration Information:
NPI: 1770528457
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
CAG77398

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00G773980CA05




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