Individual
BRUCE R SELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5875 BREMO RD, SUITE 400, RICHMOND, VA 23226-1934
(804) 288-4084
(804) 282-8678
Mailing address
7130 GLEN FOREST DR, SUITE 101, RICHMOND, VA 23226-3754
(804) 282-1095
(804) 282-8678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101248415
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467440248
—
VA
Enumeration date
10/06/2005
Last updated
03/23/2011
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