Individual
DR. BRUCE CLEO REAVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8767 WILSHIRE BLVD FL 2, BEVERLY HILLS, CA 90211-2714
(310) 248-7000
Mailing address
1217 S BROAD ST, PHILADELPHIA, PA 19147-4401
(215) 999-1217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A160353
CA
207Q00000X
Family Medicine Physician
MD463158
PA
Other
Enumeration date
04/23/2015
Last updated
05/11/2022
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