Individual
THOMAS P BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, LOMA LINDA, CA 92354-3450
(909) 558-2880
Mailing address
11370 ANDERSON ST, LOMA LINDA, CA 92354-3450
(909) 558-2880
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A135297
CA
Other
Enumeration date
05/12/2010
Last updated
12/20/2017
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