Individual
MR. BRUCE JAMES ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3104 SUNSET BLVD, ROCKLIN, CA 95677
(916) 624-0300
(916) 624-0631
Mailing address
8380 MIDLAND RD, GRANITE BAY, CA 95746
(916) 660-9274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12481
CA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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