Individual
BRUCE DAVID DEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5176 HILL ROAD E., LAKEPORT, CA 95453-6300
(707) 262-5000
Mailing address
PO BOX 12289, WESTMINSTER, CA 92685-2289
(877) 818-6101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G67934
CA
207R00000X
Internal Medicine Physician
Primary
G67934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G679340
—
CA
Enumeration date
08/09/2006
Last updated
03/13/2024
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