Individual
DR. DANIEL W. BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 EVERETT ST, TIPTONVILLE, TN 38079
(731) 882-1135
(731) 859-4404
Mailing address
507 CHERRY ST, TIPTONVILLE, TN 38079-1527
(731) 882-1135
(731) 859-4404
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MD23021
TN
207Q00000X
Family Medicine Physician
Primary
MD23021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182011
UNISON HEALTH PLAN
TN
01
—
21913
MEMPHIS MANAGED CARE
TN
05
—
4447958
—
TN
Enumeration date
06/09/2006
Last updated
08/31/2011
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