Organization
CAL POLY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN E. BRAGG PHD (DIRECTOR HEALTH AND COUNSELING SERV)
(805) 756-5278
Entity
Organization
Contact information
Practice address
1 GRAND AVE BUILDING 27, CAL POLY STATE UNIVERSITY, SAN LUIS OBISPO, CA 93407-0000
(805) 756-1211
(805) 756-5298
Mailing address
1 GRAND AVE BUILDING 27, CAL POLY STATE UNIVERSITY, SAN LUIS OBISPO, CA 93407-0000
(805) 756-1211
(805) 756-5298
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
397046
CA
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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