Organization
BRUCE F. MIZE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE FRANCIS MIZE M.D. (PRESIDENT)
(805) 614-9880
Entity
Organization
Contact information
Practice address
116 S PALISADE DR STE 306, SANTA MARIA, CA 93454-8906
(805) 614-9880
(805) 614-9881
Mailing address
116 S PALISADE DR, SUITE 306, SANTA MARIA, CA 93454-8904
(805) 614-9880
(805) 614-9881
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G16927
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G169270
—
CA
Enumeration date
07/24/2007
Last updated
08/05/2007
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