Individual
DAVID C. BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1400 E. KINCAID ST., SKAGIT REGIONAL CLINICS, MOUNT VERNON, WA 98274-4127
(360) 848-4120
(360) 424-7945
Mailing address
1400 E. KINCAID ST., ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000788
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263802
LABOR & INDUSTRIES
WA
Enumeration date
07/25/2006
Last updated
10/09/2012
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