Individual
WILLIAM L BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3508 STAUNTON AVE SE, CHARLESTON, WV 25304-1477
(304) 925-4086
Mailing address
PO BOX 3444, CHARLESTON, WV 25334-3444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25862
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810027613
—
WV
Enumeration date
03/23/2010
Last updated
02/10/2016
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