Individual
TAMI R BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3638 E SOUTHERN AVE, STE C108, MESA, AZ 85206-2563
(480) 834-0771
(480) 834-1136
Mailing address
3638 E SOUTHERN AVE, STE C108, MESA, AZ 85206-2563
(480) 834-0771
(480) 834-1136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26874
AZ
208000000X
Pediatrics Physician
26874
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688195
—
AZ
Enumeration date
12/20/2006
Last updated
11/17/2025
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