Individual
DR. BRUCE MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6363 W EMERALD ST, SUITE 103, BOISE, ID 83704-8783
(208) 376-4550
(208) 376-4552
Mailing address
6363 W EMERALD ST, SUITE 103, BOISE, ID 83704-8783
(208) 376-4550
(208) 376-4552
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-1736
ID
Other
Enumeration date
08/24/2006
Last updated
07/09/2007
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