Individual
BRUCE W DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 BETTER NOW PLZ, ADA, OK 74820-2279
(580) 272-0025
(580) 272-6559
Mailing address
902 ARLINGTON CTR, PMB 224, ADA, OK 74820-2883
(580) 272-0025
(580) 272-6559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18405
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18405
MEDICAL LICENSE
OK
Enumeration date
03/09/2006
Last updated
04/19/2024
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