Individual
BRUCE ALLEN GUBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 6TH AVE, HUNTINGTON, WV 25701-2104
(304) 525-4202
(304) 525-4231
Mailing address
612 6TH AVE, HUNTINGTON, WV 25701-2104
(304) 525-4202
(304) 525-4231
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
13133
WV
202C00000X
Independent Medical Examiner Physician
2005012335
MO
202C00000X
Independent Medical Examiner Physician
21964
KY
202C00000X
Independent Medical Examiner Physician
35037538R
OH
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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