Individual
STACI MARIE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R181007
Contact information
Practice address
551 BROADWAY, EAGLE, CO 81631
(970) 328-8840
(970) 328-8829
Mailing address
P.O. BOX 660, EAGLE, CO 81651-0660
(970) 748-2014
(970) 748-3297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R181007
MD
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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