Individual
SCOTT C BRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2725 CAPITOL AVE DEPT 402, SACRAMENTO, CA 95816-6032
(916) 262-9404
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A68901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A689010
—
CA
Enumeration date
08/13/2006
Last updated
06/03/2020
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