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Individual

DR. WILLIAM B BRUCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
80 MEDICAL PARK DR, LEWISBURG, PA 17837-9370
(570) 523-1163
(570) 524-5737
Mailing address
80 MEDICAL PARK DR, LEWISBURG, PA 17837-9370
(570) 523-1163
(570) 524-5737

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD023535E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006288730004
PA
01
01650001
CAPITAL BLUE CROSS
PA
01
151961
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/11/2005
Last updated
05/24/2011
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