Individual
DR. PACO EDUARDO BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
MD462995
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
502539
UWPIN
WA
05
—
580231800
—
MD
Enumeration date
05/08/2007
Last updated
02/06/2018
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