Individual
BRUCE E. PRUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2955 IVY RD, CHARLOTTESVILLE, VA 22903-9353
(434) 924-5485
(434) 244-9436
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101052639
VA
Other
Enumeration date
11/07/2006
Last updated
08/09/2023
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