Individual
BRUCE BAYSIN CHOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 S OAK AVE, OAKDALE, CA 95361-3519
(209) 847-3011
Mailing address
2186 GREGER ST, OAKDALE, CA 95361-8273
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A86121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A86121
MEDICAL LICENSE
CA
Enumeration date
07/18/2006
Last updated
06/10/2008
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