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Individual

DR. JOHN DAVID BRAGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9004
(970) 493-7442
(970) 493-2990
Mailing address
1107 S LEMAY AVE STE 300, FORT COLLINS, CO 80524-3955
(970) 493-7442
(970) 493-2990

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DR0060631
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000160495
CO
Enumeration date
11/07/2005
Last updated
12/16/2021
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