ROGER BRAZELTON

Community Health Worker

Active Individual
NPI: 1386083103

Practice Address

2713 COUGAR AVE
Cody, WY 82414

Phone: (307) 587-5112

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1386083103 is the National Provider Identifier for ROGER BRAZELTON, a Community Health Worker provider located in Cody, WY. This NPI was enumerated on June 14, 2013.
ROGER BRAZELTON practices at 2713 COUGAR AVE, Cody, WY 82414.

Quick Facts

NPI
1386083103
Type
Individual
Enumerated
Jun 14, 2013
Last Updated
Jun 14, 2013

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