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Individual

JULIA LYNN BRUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
900 14TH ST, GREELEY, CO 80631
(970) 304-0010
(970) 304-0903
Mailing address
900 14TH ST, GREELEY, CO 80631
(970) 304-0010
(970) 304-0903

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26748
NE
207R00000X
Internal Medicine Physician
Primary
31120
CO
207RN0300X
Nephrology Physician
31120
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95534334
CO
Enumeration date
04/27/2006
Last updated
10/29/2015
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