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Individual
BRUCE JAMES DERRICK
Active
Individual
BRUCE JAMES DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012-00981
NC
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
2012-00981
NC
Other
Enumeration date
06/16/2009
Last updated
11/29/2012
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