Organization
BRUCE JOSTEN D.O.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JOSTEN (PHYSICIAN)
(850) 784-3621
Entity
Organization
Contact information
Practice address
2622 JENKS AVE, PANAMA CITY, FL 32405-4311
(850) 784-3621
Mailing address
2622 JENKS AVE, PANAMA CITY, FL 32405-4311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
02/13/2012
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