Organization
BRUCE W DENNIS MD PLLC
Active
Other names
Ada Adult Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE W DENNIS MD (OWNER)
(580) 272-0025
Entity
Organization
Contact information
Practice address
721 BETTER NOW PLZ, ADA, OK 74820-2279
(580) 272-0025
(580) 272-6559
Mailing address
902 ARLINGTON CTR, PMB 224, ADA, OK 74820-2883
(580) 272-0025
(580) 272-6559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18405
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034380A
—
OK
Enumeration date
01/09/2007
Last updated
04/19/2024
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