Organization
ROBERT BRUCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRUCE PA (PHYSICIAN ASSISTANT)
(408) 448-3693
Entity
Organization
Contact information
Practice address
4950 CHERRY AVE, #41, SAN JOSE, CA 95118-2751
(408) 448-3693
(408) 448-3693
Mailing address
PO BOX 18670, SAN JOSE, CA 95158-8670
(408) 448-3693
(408) 448-3693
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA20241
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20241
MEDICAL LICENSE
CA
Enumeration date
02/26/2014
Last updated
02/26/2014
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