Individual
BRUCE A DANIEL
Active
Individual
BRUCE A DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
291693-1205
UT
207Q00000X
Family Medicine Physician
291693-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930104600
RAILROAD MEDICARE
UT
05
—
D1860
—
UT
Enumeration date
09/25/2006
Last updated
04/15/2010
Update your record
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