Individual
NICHOLAS BRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 SUMMIT VALLEY CIR, MAUMELLE, AR 72113-5932
(501) 686-8000
Mailing address
102 SUMMIT VALLEY CIR, MAUMELLE, AR 72113-5932
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-5851
AR
Other
Enumeration date
05/29/2007
Last updated
05/10/2010
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