Individual
DR. BRUCE E ANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 MAIN AVE, SUITE 203, DURANGO, CO 81301-5260
(970) 403-0555
(970) 403-0557
Mailing address
1201 MAIN AVE, SUITE 203, DURANGO, CO 81301-5260
(970) 403-0555
(970) 403-0557
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
33644
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01336445
—
CO
Enumeration date
02/21/2006
Last updated
03/16/2016
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