Organization
PULMONARY DIAGNOSTIC & THERAPEUTIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M BRUCE MD (PRESIDENT)
(618) 877-8443
Entity
Organization
Contact information
Practice address
2120 MADISON AVENUE, SUITE 205, GRANITE CITY, IL 62040-4747
(618) 877-8443
(618) 452-3288
Mailing address
2120 MADISON AVENUE, SUITE 205, GRANITE CITY, IL 62040-4747
(618) 877-8443
(618) 452-3288
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
IL
Other
Enumeration date
06/04/2006
Last updated
02/13/2008
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