Individual
RACHAEL M. BRACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3030 BIG HORN AVE, CODY, WY 82414-9208
(307) 578-1955
(307) 578-1979
Mailing address
3030 BIG HORN AVE, CODY, WY 82414-9208
(307) 578-1955
(307) 578-1979
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
29717
AL
208M00000X
Hospitalist Physician
Primary
8977A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04053391
—
MS
01
—
051117618
BCBS
AL
01
—
051117619
BCBS
AL
01
—
051117620
BCBS
AL
05
—
129284
—
AL
05
—
129285
—
AL
05
—
129286
—
AL
05
—
133448400
—
WY
Enumeration date
06/19/2008
Last updated
01/29/2020
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