# COREY S BRUCE MD LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942216585
- **Authorized official:** DR. COREY SCOTT BRUCE M.D. (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (602) 351-2229

## Contact information

- **Practice address:** 530 E THOMAS RD, PHOENIX, AZ 85012-3204
- **Practice address phone:** (602) 351-2229
- **Practice address fax:** (602) 351-1500
- **Mailing address:** 530 E THOMAS RD, PHOENIX, AZ 85012-3204
- **Mailing address phone:** (602) 351-2229
- **Mailing address fax:** (602) 351-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 29104 | AZ | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 05/24/2012