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Individual
ROGER L BRACCHI
Active
Individual
ROGER L BRACCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00015316
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042775
LABOR & INDUSTRIES
WA
05
—
1030782
—
WA
01
—
8938324
CRIME VICTIM
WA
01
—
P00050809
RAILROAD MEDICARE
WA
Enumeration date
07/19/2005
Last updated
03/01/2012
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