Individual
BRUCE J. FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
29277 US HIGHWAY 19 N, CLEARWATER, FL 33761-2102
(727) 313-4764
(832) 804-8813
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(832) 436-4273
(832) 436-4273
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
181536
IL
363AS0400X
Surgical Physician Assistant
Primary
181536
IL
Other
Enumeration date
07/12/2018
Last updated
10/31/2018
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