Individual
DR. BRUCE ELLIOTT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
799 E RIALTO AVE, SAN BERNARDINO, CA 92415-0011
(909) 383-3057
(909) 383-3212
Mailing address
707 HIBISCUS DR, REDLANDS, CA 92373-6142
(909) 383-3057
(909) 383-3212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G069218
CA
2083P0901X
Public Health & General Preventive Medicine Physician
G069218
CA
Other
Enumeration date
12/14/2006
Last updated
09/10/2007
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