Individual
DR. DEAN ELMER BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1832 GEORGIA ST NE, ALBUQUERQUE, NM 87110-5903
(505) 255-2978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A95036
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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