Individual
MR. BRUCE FEWKES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3585
Mailing address
819 CAMERON CT, VACAVILLE, CA 95687-7325
(707) 446-8716
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-409
ID
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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