Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID RANDALL BRUCE, DO
ActiveDAVID RANDALL BRUCE, DO is a Dermatology healthcare provider located in JACKSON, California. NPI 1164466041 is currently active in the NPPES registry. Verify at CMS.
Dermatology · JACKSON, CA
Registration Details
- NPI Number
- 1164466041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (20.205297356346 yrs)
- Last Updated
- Sep 21, 2015
- License
-
20A5045 (CA)
Practice Information
- Address
-
817 COURT STJACKSON, CA, 956422156Browse CA providers · Browse ZIP 95642
- Phone
- 2092230038
- Fax
- 2092230039
- Primary Specialty
-
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.