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Individual
BRUCE A MACLEOD
Active
Individual
BRUCE A MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.136706
OH
207P00000X
Emergency Medicine Physician
Primary
MD044492E
PA
207P00000X
Emergency Medicine Physician
MD23896
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011895170001
—
PA
01
—
0505638
AETNA PVN
PA
01
—
1513379
GATEWAY
PA
01
—
250350
UPMC
PA
01
—
5608033
AETNA PIN
PA
01
—
567777JK6
PA MCR GROUP PTAN
PA
01
—
594424
BCBS
PA
01
—
62746
UNISON
PA
01
—
930009485
RR MEDICARE
PA
Enumeration date
09/22/2005
Last updated
05/19/2020
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