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Individual

DR. BRUCE O PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-8888
(520) 626-1983
Mailing address
PO BOX 245106, TUCSON, AZ 85724-5106
(520) 626-6296
(520) 626-1983

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
44958
AZ

Other

Enumeration date
09/19/2011
Last updated
09/19/2011
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