Carla Bratcher, M.D.
Family Medicine in Modesto, CA. Individual provider (NPI-1).
NPI number1710074471
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710074471
- Entity type
- Individual (NPI-1)
- Name
- Carla Bratcher
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G64780 | CA | Yes |
Other names
- Carla Broderick (Other Name)
Practice location
401 Paradise RoadSuite E
Modesto, CA 85351
Phone 209-558-4000 · Fax 209-558-5036
Mailing address
830 Scenic DrModesto, CA 95350-6131
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