Scott Bracken, CSA
Specialist/Technologist, Other, Surgical Assistant in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1245633056
StatusActive
Last updated in NPPESOct 7, 2014
Details
- NPI
- 1245633056
- Entity type
- Individual (NPI-1)
- Name
- Scott Bracken
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2014
- Last updated
- Oct 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 4404 | VA | Yes |
Practice location
1008 Michaelwood DrVirginia Beach, VA 23452-4612
Phone 757-348-7101 · Fax 757-855-1192
Mailing address
1008 Michaelwood DrVirginia Beach, VA 23452-4612
Phone 757-348-7101 · Fax 757-855-1192
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