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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRUCE NORMAN LEISTIKOW, MD

Active

Occupational Medicine · DAVIS, CA

Registration Details

NPI Number
1265449169
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2006 (19.747200371856 yrs)
Last Updated
Feb 15, 2013
Licenses
G80992 (CA)
G80992 (CA)
G80992 (CA)

Practice Information

Address
1 SHIELDS AVE
DAVIS, CA, 956165270
Browse CA providers · Browse ZIP 95616
Phone
5307521011
Primary Specialty
Occupational Medicine
2083X0100X
Additional Specialty
Occupational Medicine

Other Occupational Medicine Providers in DAVIS, CA

Name Credential NPI
THOMAS JEFFREY FERGUSON M.D., PH.D. 1710998422
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.