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Individual

JAMES ALAN BRUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 435-6136
(937) 435-6135
Mailing address
3533 SOUTHERN BLVD, SUITE 3100, KETTERING, OH 45429-1264
(937) 293-8228
(937) 293-8229

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35041548
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000005969
ANTHEM
OH
05
0358438
OH
01
UNITED HEALTHCARE
2000594
OH
Enumeration date
08/04/2005
Last updated
07/08/2007
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