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Search › Wyoming › 101YA0400X

Robert Bragg, LAT

NPI 1225469661 · on the registry since 2013

Practice

Address
610 W Broadway Ave Ste L1
Jackson, WY 83001
Phone
(307) 733-3908
Fax
(307) 734-0017
Organisation at this address
Rj Smiles, Llc
Bingham Endodontics, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming