Individual
DR. DAVID BRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3112 E GRAND AVE, LARAMIE, WY 82070-5141
(307) 745-7246
Mailing address
5419 SUMMIT DR, LARAMIE, WY 82070-5738
(307) 766-6064
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3358
WY
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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