| NPI | 1396949616 |
|---|---|
| Doing Business As | KEITH BRAVO, MD |
| Entity Type | Organization |
| Authorized Contact | KEITH BRAVO Staff 304-723-4328 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 19983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 19983) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-12-31 |