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Individual

BRUCE K NEELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 N DIVISION ST, AUBURN, WA 98001-4939
(253) 833-7711
Mailing address
19008 SE 175TH ST, RENTON, WA 98058-0700

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00032681
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00032681
WA

Other

Enumeration date
06/24/2006
Last updated
06/10/2010
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