Organization
LARRY E BRAGG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY E BRAGG (SOLE MEMBER)
(308) 627-5817
Entity
Organization
Contact information
Practice address
3515 30TH AVE, KEARNEY, NE 68845-2298
(308) 865-2670
Mailing address
PO BOX 2505, KEARNEY, NE 68848-2505
(308) 865-2230
(308) 238-2254
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
03/17/2015
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