Individual
DR. TODD M BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAVAL HOSPITAL CAMP LEJEUNE, 100 BREWSTER BLVD, JACKSONVILLE, NC 28547
(910) 450-4840
Mailing address
NAVAL HOSPITAL CAMP LEJEUNE, 100 BREWSTER BLVD, JACKSONVILLE, NC 28547
(910) 450-4840
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101240262
VA
208D00000X
General Practice Physician
0101240262
VA
Other
Enumeration date
10/16/2006
Last updated
08/29/2014
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