Individual
BRUCE E. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 S 70TH ST, # 203, LINCOLN, NE 68510-4293
(402) 486-4035
(402) 486-3528
Mailing address
1101 S 70TH ST, # 203, LINCOLN, NE 68510-4293
(402) 486-4030
(402) 486-3528
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12891
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47074565613
—
NE
Enumeration date
09/25/2006
Last updated
07/14/2010
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