Individual
DR. BRYCE JEFFREY BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1245 BROAD ST, SAN LUIS OBISPO, CA 93401-3907
(805) 542-0700
(805) 784-9309
Mailing address
951 HANFORD ST, PISMO BEACH, CA 93449-2351
(805) 709-1496
(805) 784-9309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7135T
CA
Other
Enumeration date
03/23/2007
Last updated
09/01/2010
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