Individual
BRUCE WILLIS HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
143 TIGER TAIL ROAD, OLYMPIC VALLEY, CA 96146-3707
(530) 583-5367
Mailing address
PO BOX 3707, OLYMPIC VALLEY, CA 96146-3707
(530) 583-5367
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G13207
CA
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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