Bruce, Marc Brian
Bruce, Marc Brian is an individual health care provider with primary practice located at 401 W Poplar St Radiology, Walla Walla WA 99362-2846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bruce, Marc Brian can be contacted via phone (509) 522-5790.Contact Information
Primary practice address
401 W Poplar St Radiology
Walla Walla WA 99362-2846
Phone: (509) 522-5790
Fax: (509) 522-5887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00044555 | Washington |
Profile Details
| NPI number | 1386746998 |
|---|---|
| LBN Legal business name | Bruce, Marc Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2006 |
| Last updated | Oct 14th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386746998 | NPPES |
| Oregon | MEDICAID | 0007187 | |
| Oregon | MEDICAID | 8488116 |
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