Individual
DIANA MICHELLE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 VETERANS BLVD, NEUROSURGERY DEPT., REDWOOD CITY, CA 94063-2037
(650) 299-4436
(650) 299-2677
Mailing address
1800 HARRISON ST, 7TH FLOOR- TPMG HR, OAKLAND, CA 94612-3466
(650) 299-4436
(650) 299-2677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA17825
MEDICAL LICENSE
CA
Enumeration date
07/22/2008
Last updated
02/11/2022
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