Individual
DR. BRUCE WAYNE FISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, PHD
Contact information
Practice address
7020 TRASK AVE, WESTMINSTER, CA 92683-2622
(949) 673-3154
(949) 723-8348
Mailing address
1809 W BAY AVE, NEWPORT BEACH, CA 92663-4516
(949) 673-3154
(949) 723-8348
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC26387
CA
111NR0200X
Radiology Chiropractor
Primary
RHC147634
CA
Other
Enumeration date
07/24/2006
Last updated
07/31/2007
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