Individual
DR. GUY M BRAGG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
Mailing address
8 DEEP POWDER CT, WOODSTOCK, MD 21163-1110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4731
MD
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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