Individual
DR. BRUCE ALAN HERSHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 LIGONIER ST, SUITE 003, LATROBE, PA 15650-1805
(724) 537-4321
(724) 539-2449
Mailing address
520 JEFFERSON AVE, JEANNETTE, PA 15644-2538
(724) 527-8060
(724) 522-4002
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD016893E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006164150001
—
PA
01
—
140056
BLUE SHIELD
—
Enumeration date
07/14/2006
Last updated
01/11/2017
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