Individual
BRUCE GERALD CUDAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9801 204TH AVE E, BONNEY LAKE, WA 98391-6559
(253) 750-8135
(253) 750-8136
Mailing address
9801 204TH AVE E, BONNEY LAKE, WA 98391-6559
(253) 750-8135
(253) 750-8136
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1641
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001360
—
WA
Enumeration date
01/25/2006
Last updated
01/19/2023
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