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Individual
MR. RICHARD W BRAINERD III
Active
Individual
MR. RICHARD W BRAINERD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, MS.ED
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT7193
TX
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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