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Individual

DR. BRUCE O HOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6500 W BROAD ST, STE A, RICHMOND, VA 23230-2013
(804) 287-3000
(804) 673-2731
Mailing address
7202 GLEN FOREST DR STE 200, RICHMOND, VA 23226-3780
(804) 673-2024
(804) 673-1796

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101266081
VA
207RH0003X
Hematology & Oncology Physician
ME83056
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03096
BCBS
FL
05
262177100
FL
01
7266266
AETNA
FL
01
C01120
GROUP PTAN
VA
01
P00901538
RAILROAD MEDICARE
FL
Enumeration date
05/15/2006
Last updated
06/09/2021
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