Individual
DR. TRAVIS O BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2817 ROCK MERRITT AVE BLDG 4-3219, FORT LIBERTY, NC 28310-4613
(105) 703-0489
Mailing address
2817 ROCK MERRITT AVE BLDG 4-3219 RM G117, FORT LIBERTY, NC 28310-0001
(910) 570-3048
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23877
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238772
—
SC
Enumeration date
03/31/2006
Last updated
10/01/2024
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