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Individual

BRUCE E RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 20TH AVE N, 7TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-4970
Mailing address
300 20TH AVE N, 7TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-4970

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16031
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110235818
RR MEDICARE
TN
05
3016806
TN
01
4036284
BLUE CROSS BLUE SHIELD
TN
01
4170783
BLUE CROSS-BLUE SHIELD
TN
01
4322432
AETNA
TN
Enumeration date
06/19/2006
Last updated
10/20/2014
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