Individual
SANDY BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
421 STONE WOOD DR, BROKEN ARROW, OK 74012-1026
(918) 872-8822
Mailing address
2047 E 138TH PL S, BIXBY, OK 74008-4897
(918) 760-5552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226183
OK
Other
Enumeration date
10/22/2025
Last updated
11/22/2025
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