Stacy Elizabeth Bragg in Saint Louis - Pediatrics
Stacy Elizabeth Bragg - NPI 1881711620
Stacy Elizabeth Bragg is a Pediatrics in Saint Louis, Missouri. Stacy Elizabeth Bragg practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacy Elizabeth Bragg is 1881711620. The last update date is 2010-03-10.
Stacy Elizabeth Bragg's current location address is 1433 Dolman St, Saint Louis, Missouri. You can contact this provider via phone number 3144946337 and fax number 8884522930. The mailing address for Stacy Elizabeth Bragg is 1433 Dolman St, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Elizabeth Bragg |
|---|---|
| Address | 1433 Dolman St, Saint Louis, Missouri |
| Phone Number | 3144946337 |
| Fax Number | 8884522930 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1881711620 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2010-03-10 |
Provider Mailing Address Detail
| Address | 1433 Dolman St |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631043307 |
| Phone Number | 3144946337 |
| Fax Number | 8884522930 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 56.05465 |
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What is the Stacy Elizabeth Bragg's unique identification number?
The Stacy Elizabeth Bragg has been assigned the NPI (National Provider Identifier) Number 1881711620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Stacy Elizabeth Bragg is located?
The Stacy Elizabeth Bragg is situated at the following address: 1433 Dolman St, Saint Louis, MO, 631043307.
What is Stacy Elizabeth Bragg's area of expertise and its corresponding taxonomy classification?
The Stacy Elizabeth Bragg's field of specialization is Pediatrics, and it falls under the taxonomy code 225Xp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Stacy Elizabeth Bragg receive its 1881711620 assignment from the Centers for Medicare & Medicaid Services?
The Stacy Elizabeth Bragg was assigned its 1881711620 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date was the information regarding Stacy Elizabeth Bragg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacy Elizabeth Bragg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-10.
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