Individual
BRUCE ALAN BOB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 CADILLAC DR, SUITE 230, SACRAMENTO, CA 95825-5453
(916) 920-2082
(916) 920-1430
Mailing address
77 CADILLAC DR, SUITE 230, SACRAMENTO, CA 95825-5453
(916) 920-2082
(916) 920-1430
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G24577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G245770
—
CA
Enumeration date
03/03/2006
Last updated
07/08/2007
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