Individual
TIM BRUCE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
DEPT OF PSYCHIATRY, 221 NE GLEN OAK 7 WEST, PEORIA, IL 61636-0001
(309) 671-8222
Mailing address
1 ILLINI DR, PEORIA, IL 61605-2576
(309) 671-8503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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