Individual
DAVID RANDALL BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
817 COURT ST, JACKSON, CA 95642-2156
(209) 223-0038
(209) 223-0039
Mailing address
817 COURT ST, SUITE #11, JACKSON, CA 95642-2156
(209) 223-0038
(209) 223-0039
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A5045
CA
Other
Enumeration date
06/15/2006
Last updated
09/21/2015
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