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DR. NATASA BRATISLAV DRAGICEVIC M.D

Neurology >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1124386156

Individual Registrant:
DR. NATASA BRATISLAV DRAGICEVIC M.D
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6 WOODLAND RD STE 304  SAINT HELENA, CA 94574-9562 US
Tel: 707-963-8860  Fax: 707-963-8861

Contact information for business:
6 WOODLAND RD STE 304  SAINT HELENA, CA 94574-9562 US
Tel: 707-963-8860  Fax: 707-963-8861

Registration Information:
NPI: 1124386156
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2084N0400XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Neurology
CT057096
Y2084N0400XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
NV18640
N2084B0040X
CAA169361
N2084B0040X
NY286642

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSE18640NV01
CAQH13978464NV01




HEALTH CARE JOBS CA - Page 1



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