JACK DWAYNE BRAGG

COLUMBIA, MO
NPI1003865239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: MO  R5C31)
Enumeration Date2006-05-06
Last Update Date2024-06-11
Business Address
JACK DWAYNE BRAGG DO
ONE HOSPITAL DR
COLUMBIA, MO 65212-0001
Phone number: 573-884-8445
Mailing Address
JACK DWAYNE BRAGG DO
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300