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Individual

DR. BRUCE A HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 925-3151
Mailing address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 925-3151

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
252090027579
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8119315
WA
Enumeration date
03/20/2006
Last updated
03/23/2010
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