CODY LEE BRACK

MORGANTOWN, WV
NPI1669062758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  117089)
Enumeration Date2021-01-22
Last Update Date2024-08-20
Business Address
CODY LEE BRACK RN
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506-1200
Phone number: 304-598-4000
Mailing Address
CODY LEE BRACK RN
4820 BLACKBERRY WAY
PITTSBURGH, PA 15201-2714
Phone number: 301-501-2683
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