SearchWashington103T00000X

Russell Bragg, PHD

NPI 1558442152 · on the registry since 2006 · sole proprietor

Practice

Address
9840 Kingston Farm Rd Ne
Kingston, WA 98346
Phone
(360) 509-1474

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-21

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 Washington