Individual
ROBERT J BRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7485 RIGHT FLANK RD, SUITE 210, MECHANICSVILLE, VA 23116-3839
(804) 484-3700
(804) 320-6462
Mailing address
7485 RIGHT FLANK RD, SUITE 210, MECHANICSVILLE, VA 23116-3839
(804) 484-3700
(804) 320-6462
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101054187
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6502296
—
VA
Enumeration date
07/08/2005
Last updated
12/28/2010
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