Individual
HOWARD L BRUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 15TH ST, AUGUSTA, GA 30901-2607
(706) 722-9601
Mailing address
909 15TH ST, AUGUSTA, GA 30901-2607
(706) 722-9601
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
014605
GA
Other
Enumeration date
11/16/2007
Last updated
11/27/2007
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