Organization
BBRAVO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY BRAVO MD (PRESIDENT)
(602) 467-4733
Entity
Organization
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(602) 467-4733
(602) 331-5483
Mailing address
2525 W BERYL AVE, PHOENIX, AZ 85021-1606
(602) 467-4733
(602) 331-5483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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