Individual
BRUCE DWAYNE FORNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2307 BOX BUTTE AVE, ALLIANCE, NE 69301
(308) 762-3741
(308) 762-7743
Mailing address
2307 BOX BUTTE AVE, ALLIANCE, NE 69301
(308) 762-3741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12756
NE
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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