Individual
DR. BRUCE ALAN GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5611
(912) 435-6147
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5611
(912) 435-6147
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54408
AZ
207P00000X
Emergency Medicine Physician
64941
GA
Other
Enumeration date
06/23/2006
Last updated
09/14/2022
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