Individual
DR. BRUCE GRANGER DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1095 E ARROW HWY, UPLAND, CA 91786-5465
(909) 981-5399
Mailing address
1095 E ARROW HWY, UPLAND, CA 91786-5465
(909) 981-5399
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
07694
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03587
MEDICAL EYE SERVICE
CA
05
—
SD0076940
—
CA
Enumeration date
01/03/2007
Last updated
05/13/2008
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