Individual
BRUCE DUANE DOVE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 SAINT MARYS RD, BUFFALO, NY 14211-2629
(716) 948-0435
Mailing address
1440 JEFFERSON AVE STE 133, BUFFALO, NY 14208-1827
(716) 948-0435
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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