Organization
PULMONARY DIAGNOSTIC & THERAPEUTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M BRUCE M.D. (PRESIDENT)
(314) 362-7276
Entity
Organization
Contact information
Practice address
4625 LINDELL BLVD, SUITE 507, SAINT LOUIS, MO 63108-3725
(314) 362-7276
(618) 452-3288
Mailing address
3263 HAWTHORNE BLVD, SAINT LOUIS, MO 63104-1618
(314) 362-7276
(618) 452-3288
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
R4525
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200845816
—
MO
Enumeration date
03/02/2007
Last updated
01/07/2011
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