Individual
DR. BRUCE RONALD CARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
292 ALAMO DR STE 2, VACAVILLE, CA 95688-4243
(707) 448-2218
(707) 453-1602
Mailing address
292 ALAMO DR STE 2, VACAVILLE, CA 95688-4243
(707) 448-2218
(707) 453-1602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G22448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G224480
—
CA
05
—
00G224481
—
CA
Enumeration date
10/06/2006
Last updated
07/08/2007
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