Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD60654139 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | 13200 | PR |
N | 207RC0000X | Internist - Cardiovascular Disease | MD60654139 | WA |
NPI | 1457364770 |
---|---|
Provider Name | David Bragin-Sanchez |
First Address | Spokane, WA 99220-3649 |
Second Address | Spokane, WA 99204-2948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 20/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H-88500 | (02) | NC |