Individual
DR. BRUCE PUDENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1004 MARKET ST, GOWRIE, IA 50543
(515) 352-3880
Mailing address
PO BOX 73, GOWRIE, IA 50543-0073
(515) 352-3880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06620
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0293241
—
IA
Enumeration date
02/17/2006
Last updated
11/05/2007
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