Individual
BRUCE D SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1509 NW MOCK AVE, BLUE SPRINGS, MO 64015-3108
(816) 229-8187
(816) 229-1181
Mailing address
1509 NW MOCK AVE, BLUE SPRINGS, MO 64015-3108
(816) 229-8187
(816) 229-1181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD R4F25
MO
Other
Enumeration date
09/20/2005
Last updated
02/08/2022
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