WAYNE LEE BRACKENRICH

ROANOKE, VA
NPI1447356530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0102033442)
Enumeration Date2006-09-15
Last Update Date2024-06-26
Business Address
WAYNE LEE BRACKENRICH D.O.
6415 PETERS CREEK RD
ROANOKE, VA 24019-4021
Phone number: 540-265-5500
Mailing Address
WAYNE LEE BRACKENRICH D.O.
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: 540-224-5705
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