Individual
BRUCE G DAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2701 CHESTER AVE, HIGHGROVE MEDICAL CENTER, BAKERSFIELD, CA 93301
(661) 326-1600
(661) 323-2307
Mailing address
PO BOX 1139, BAKERSFIELD, CA 93302-1139
(661) 371-2796
(661) 438-1746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PA13523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092950
—
CA
01
—
ZZZ01707Z
MEDICARE GROUP ID#
—
Enumeration date
10/16/2006
Last updated
05/14/2018
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