NPI | 1376731596 |
---|---|
Doing Business As | BRAGG SPINE AND ORTHOPEDIC PAIN CENTER PC |
Entity Type | Organization |
Authorized Contact | WINIFRED D BRAGG CEO President 757-333-3360 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101052700) |
Enumeration Date | 2007-10-12 |
Last Update Date | 2012-06-01 |