Organization
LEO A. BRUCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO A. BRUCE M.D. (OWNER)
(573) 471-3358
Entity
Organization
Contact information
Practice address
808 E WAKEFIELD AVE, SIKESTON, MO 63801-5147
(573) 471-3358
Mailing address
808 E WAKEFIELD AVE, SIKESTON, MO 63801-5147
(573) 471-3358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
24211
MO
Other
Enumeration date
01/14/2008
Last updated
02/06/2008
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