Individual
BRUCE D MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G48366
CA
208D00000X
General Practice Physician
G48366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G483661
—
CA
Enumeration date
06/07/2006
Last updated
05/13/2024
Update your record
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