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Individual
DR. ROBERT M BRACKBILL JR.
Active
Individual
DR. ROBERT M BRACKBILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD025196E
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD025196E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00873969
—
PA
01
—
076663
MEDICARE
PA
01
—
C29150
UPIN
—
Enumeration date
06/24/2005
Last updated
03/27/2018
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