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Individual

BRUCE R GILBERT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 N DIVISION ST, PLAZA ONE, AUBURN, WA 98001-4939
(253) 833-7711
Mailing address
PO BOX 26730, FEDERAL WAY, WA 98093-3730
(253) 661-1700
(253) 656-4005

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
25209
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024611
WA
Enumeration date
07/16/2005
Last updated
07/08/2007
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