Individual
MR. BRUCE SHELDON TRIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 WESTSIDE DRIVE, DOTHAN, AL 36303
(334) 793-5074
(334) 793-6460
Mailing address
210 WESTSIDE DRIVE, DOTHAN, AL 36303
(334) 793-5074
(334) 793-6460
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
7167
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000046410
—
AL
01
—
51046410
BLUE CROSS
AL
Enumeration date
01/10/2007
Last updated
04/08/2024
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