Individual
RUSSELL EUGENE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
425 PIPER RD, WEST SPRINGFIELD, MA 01089-1799
(413) 263-3400
Mailing address
425 PIPER RD, WEST SPRINGFIELD, MA 01089-1799
(413) 263-3400
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2302
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2302
MA BOARD OF ALLIED HEALTH
MA
Enumeration date
05/24/2022
Last updated
05/24/2022
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