Individual
DR. BRUCE LYNN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 WISTERIA DR, SANTA MARIA, CA 93455-1648
(805) 937-7511
Mailing address
301 WISTERIA DR, SANTA MARIA, CA 93455-1648
(805) 937-7511
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G15846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G158460
—
CA
01
—
G15846
LICENCE NUMBER
CA
Enumeration date
11/06/2006
Last updated
07/09/2007
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