Individual
DR. MARK ALLEN BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 N VAN BUREN ST, MARION, IL 62959-2335
(618) 993-3187
(618) 993-0397
Mailing address
301 N VAN BUREN ST, MARION, IL 62959-2335
(618) 993-3187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19-024396
IL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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