Individual
DR. BRUCE WAYNE CARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 OLD FARM LN, COALVILLE, UT 84017-6706
(360) 355-9354
Mailing address
PO BOX 412, CAMAS, WA 98607-0049
(360) 590-3095
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
160374-1205
UT
Other
Enumeration date
01/21/2014
Last updated
04/15/2020
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