Individual
BRUCE RICHARD LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1624 LITINA DR, ALAMO, CA 94507-1015
(510) 219-3821
Mailing address
1624 LITINA DR, ALAMO, CA 94507-1015
(510) 219-3821
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C33403
CA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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