Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE R DOUGLAS, PA
Active Sole ProprietorPhysician Assistant · ROYAL CITY, WA
Registration Details
- NPI Number
- 1417978842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2006 (19.761809613086 yrs)
- Last Updated
- Mar 30, 2021
- License
-
10005338 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 CAMELIA ST.ROYAL CITY, WA, 99357Browse WA providers · Browse ZIP 99357
- Phone
- 5096638711
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROYAL CITY, WA
| Name | Credential | NPI |
|---|---|---|
| MR. DENNIS TALBOT | PA-C | 1134406960 |
| MS. NGOC HUU QUYUH TRAN | PA | 1720426596 |
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.