Individual
DR. BRUCE JOHN SPERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2296 GALLERIA AT TYLER, RIVERSIDE, CA 92503-4144
(951) 689-4500
Mailing address
2296 GALLERIA AT TYLER, RIVERSIDE, CA 92503-4144
(951) 689-4500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6357-T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6357-T
CA LICENSE#
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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