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Individual

BRUCE A PASCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1074 PATTERSON RD, KETTERING, OH 45420-1522
(937) 258-6330
Mailing address
1074 PATTERSON RD, KETTERING, OH 45420-1522
(937) 258-6330
(937) 586-9736

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
35.042865
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0499518
OH
Enumeration date
05/23/2006
Last updated
09/10/2018
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