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Individual

EDWARD F BRUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2045 FRANKLIN STREET, DENVER, CO 80205-5437
(303) 861-3485
Mailing address
2045 FRANKLIN STREET, DENVER, CO 80205-5437
(303) 861-3485

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21954
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002585
KAISER-COMMERCIAL NUMBER
05
01219542
CO
Enumeration date
02/15/2007
Last updated
10/07/2008
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