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Organization

BRUCE R. BELLEVILLE, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE RAYMOND BELLEVILLE MD, MPH (PRESIDENT)
(970) 223-2274
Entity
Organization

Contact information

Practice address
2831 SKIMMERHORN ST, FORT COLLINS, CO 80526-6275
(970) 223-2274
(970) 223-2274
Mailing address
2831 SKIMMERHORN ST, FORT COLLINS, CO 80526-6275
(970) 223-2274
(970) 223-2274

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
21657
CO

Other

Enumeration date
12/22/2009
Last updated
12/22/2009
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