Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE B CHISHOLM, M.D.
Active Sole ProprietorOral & Maxillofacial Surgery (Physician) · RANCHO MIRAGE, CA
Registration Details
- NPI Number
- 1932206851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.584502016444 yrs)
- Last Updated
- Oct 6, 2011
- Licenses
-
G81937 (CA)G81937 (CA)10005 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
39300 BOB HOPE DRBANNAN BLDG SUITE 1208RANCHO MIRAGE, CA, 922703203Browse CA providers · Browse ZIP 92270
- Phone
- 7607799559
- Fax
- 7607795077
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Plastic and Reconstructive Surgery
- Additional Specialty
- Ambulatory Surgical Center
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.