Individual
THOMAS BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
419 5TH ST NE, JAMESTOWN, ND 58401-3300
(701) 252-1050
(701) 253-4798
Mailing address
419 5TH ST NE, JAMESTOWN, ND 58401-3300
(701) 252-1050
(701) 253-4798
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R21818
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3479
BLUE CROSS OF ND
—
01
—
449161008624
PREFERRED ONE
—
01
—
HP42318
HEALTH PARTNERS
—
Enumeration date
01/04/2006
Last updated
02/01/2008
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