Individual
BRUCE D MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1996 N D ST, SAN BERNARDINO, CA 92405-3912
(909) 883-7777
(909) 883-7773
Mailing address
1996 N D ST, SAN BERNARDINO, CA 92405-3912
(909) 883-7777
(909) 883-7773
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
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