Individual
DR. FRANCISCO EFRAIN BRAVO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E. DOWNING, #102, TAHLEQUAH, OK 74464
(918) 207-1189
(918) 207-1160
Mailing address
PO BOX 1008, TAHLEQUAH, OK 74465-1008
(918) 207-1189
(918) 207-1160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19440
OK
208600000X
Surgery Physician
Primary
19440
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100168350A
—
OK
Enumeration date
06/10/2006
Last updated
05/12/2010
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