Individual
DR. JOHN BRUESEWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
401 E STATE HIGHWAY 260, PAYSON, AZ 85541-4932
(928) 472-8208
Mailing address
401 E STATE HIGHWAY 260, PAYSON, AZ 85541-4932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
21235
IA
183500000X
Pharmacist
Primary
S017917
AZ
Other
Enumeration date
03/24/2014
Last updated
04/12/2016
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