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Organization
RENE H. BRAVO MD INC
Active
Organization
RENE H. BRAVO MD INC
Active
Other names
Bravo Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE HENRY BRAVO M.D. (PRESIDENT/PHYSICIAN)
(805) 544-4460
Entity
Organization
Contact information
Practice address
3241 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-6924
(805) 544-4460
(805) 544-4019
Mailing address
3241 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-6924
(805) 544-4460
(805) 544-4019
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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