Individual
KYLE W BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1962
(413) 733-4101
(413) 598-7876
Mailing address
305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1962
(413) 733-4101
(413) 598-7876
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2433
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110104571/A
—
MA
Enumeration date
04/29/2011
Last updated
02/01/2016
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