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Individual

DR. BRUCE J WARING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
30146
CO
208600000X
Surgery Physician
Primary
DR.0030146
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020026133
MEDICARE RR
CO
05
1301464
CO
Enumeration date
08/23/2006
Last updated
02/03/2015
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