Individual
DR. BRUCE MICHAEL MATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
314 MAIN ST., MARION, LA 71260
(318) 292-4570
Mailing address
P O BOX 17, MARION, LA 71260-0017
(318) 292-4634
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10294
LA
Other
Enumeration date
01/23/2007
Last updated
08/05/2011
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