DALLIN L BRACKEN

BANNER HEALTH PHYSICIANS WEST LLC

Dr DALLIN L BRACKEN is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2009.

Contact

BANNER HEALTH PHYSICIANS WEST LLC

801 E WILLIAMS AVE
FALLON
NV
894063052

Tel:

DALLIN L BRACKEN Information

Npi 1336465798
Pac Id 1355475666
Professional Enrollment Id I20141006002412
Last Name BRACKEN
First Name DALLIN
Middle Name L
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BANNER HEALTH PHYSICIANS WEST LLC
Group Practice Pac Id 5092978866
Number Of Group Practice Members 19
Line 1 Street Address 801 E WILLIAMS AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City FALLON
State NV
Zip Code 894063052
Phone Number
Hospital Affiliation Ccn 1 291313
Hospital Affiliation Lbn 1 BANNER CHURCHILL COMMUNITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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