Individual
DR. BRUCE ALAN PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2900 CROASDAILE DR, STE. 6, DURHAM, NC 27705-2579
(919) 683-2020
Mailing address
2900 CROASDAILE DR, STE. 6, DURHAM, NC 27705-2579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1962
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093TX
BCBS
NC
05
—
5901433
—
NC
Enumeration date
10/18/2005
Last updated
03/06/2008
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