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Individual

BRUCE G MCLENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1545 AIRPORT BLVD, SUITE 2000, PENSACOLA, FL 32504-8615
(850) 416-6933
(850) 416-6934
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 416-6933
(850) 416-6934

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA421
AL
363AM0700X
Medical Physician Assistant
Primary
PA9102792
FL

Other

Enumeration date
11/21/2005
Last updated
03/15/2016
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