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NPI Code Detail

MEDICARE: SONDRA BATSON-BRAGGS, P.C.

MEDICARE: SONDRA BATSON-BRAGGS, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3630OK

General Provider Information

NPI Number : 1467760405
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONDRA BATSON-BRAGGS, P.C.
Provider Business Mailing Address
First Line : P.O. BOX 720667
Second Line : 2828 N.W. 57TH STREET, STE. 307
City : OKLAHOMA CITY
State : OK
Zip : 73172-0667
Country : US
Telephone Number : 405-286-9700
Fax Number : 405-286-9701
Provider Business Practice Location Address
First Line : 2828 NW 57TH ST
Second Line : STE. 307
City : OKLAHOMA CITY
State : OK
Zip : 73112-6814
Country : US
Telephone Number : 405-286-9700
Fax Number : 405-286-9701
Authorized Official
Title or Position : PRESIDENT/CHIROPRACTOR
Name : DR. SONDRA BATSON-BRAGGS
Credential : D.C.
Telephone Number : 405-286-9700
Provider Enumeration Date : 09/23/2010
Last Update Date : 09/23/2010

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