Organization
COREY S BRUCE MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY SCOTT BRUCE M.D. (PRESIDENT/PHYSICIAN)
(602) 351-2229
Entity
Organization
Contact information
Practice address
530 E THOMAS RD, PHOENIX, AZ 85012-3204
(602) 351-2229
(602) 351-1500
Mailing address
530 E THOMAS RD, PHOENIX, AZ 85012-3204
(602) 351-2229
(602) 351-1500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550956
—
AZ
Enumeration date
08/01/2006
Last updated
05/24/2012
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