Individual
BRUCE RONALD HOLMBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6969 BROCKTON AVE, SUITE B, RIVERSIDE, CA 92506-3813
(951) 686-3575
(951) 781-2194
Mailing address
6969 BROCKTON AVE, SUITE B, RIVERSIDE, CA 92506-3813
(951) 686-3575
(951) 781-2194
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G60416
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G604160
—
CA
Enumeration date
02/20/2007
Last updated
07/08/2007
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