Individual
BRUCE COULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3838 N CAMPBELL AVE, BLDG 2, CLINIC E, TUCSON, AZ 85719
(520) 694-8888
(520) 694-0235
Mailing address
1501 N CAMPBELL AVENUE, 6TH FLOOR, DEPARTMENT OF NEUROLOGY, 6TH FLOOR, TUCSON, AZ 85721
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23787
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130017391
RR MEDICARE
AZ
Enumeration date
02/08/2006
Last updated
12/05/2018
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