Individual
BRUCE JC HOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3333 WEST DEYOUNG, HEARTLAND REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY, MAKION, IL 62959
(618) 998-7655
Mailing address
PO BOX 503809, IMALES USA INC, ST LOUIS, MO 63150-3809
(800) 775-9195
(309) 688-5562
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360947753
—
IL
01
—
073759
HA
—
Enumeration date
06/27/2006
Last updated
03/07/2023
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