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Organization

R H BRACKEN DO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD H BRACKEN DO (PRESIDENT)
(614) 294-7874
Entity
Organization

Contact information

Practice address
72 W 3RD AVE, COLUMBUS, OH 43201-3209
(614) 294-7874
Mailing address
1132 HUNTER AVE, COLUMBUS, OH 43201-3227
(614) 261-3728
(614) 447-9593

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0708621
OH
01
CL6895
MEDICARE RAILROAD
Enumeration date
06/25/2006
Last updated
08/22/2020
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