Individual
CLIFFORD J BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5225 S HIGHWAY 95 STE 6, FORT MOHAVE, AZ 86426-9111
(928) 770-4560
(928) 681-1811
Mailing address
3900 N STOCKTON HILL RD STE B368, KINGMAN, AZ 86409-3029
(928) 681-1234
(928) 681-1811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP11644
AZ
363L00000X
Nurse Practitioner
F12170429
FL
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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