Individual
BRUCE E VANZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 773-3863
(541) 618-4413
Mailing address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 773-3863
(541) 618-4413
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD10543
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227698
—
OR
Enumeration date
05/14/2009
Last updated
03/07/2023
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