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Individual

DR. BRUCE M LAIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
714 N. CHELAN STREET, #A, WENATCHEE, WA 98801
(509) 663-0055
(509) 664-8975
Mailing address
714 N. CHELAN STREET, #A, WENATCHEE, WA 98801
(509) 663-0055
(509) 664-8975

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001499
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0149153
LABOR & INDUSTRIES
WA
01
350052174
RAILROAD MEDICARE
WA
01
GAB21942
MEDICARE
WA
Enumeration date
08/11/2005
Last updated
07/22/2011
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