Individual
BRUCE LOWELL DEITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(973) 600-6395
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0990381-NP
CO
364SF0001X
Family Health Clinical Nurse Specialist
APN.0990381-NP
CO
Other
Enumeration date
05/02/2012
Last updated
10/03/2024
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