Mize, Bruce F

Mize, Bruce F is an sole proprietor health care provider with primary practice located at 116 S Palisade Dr Suite 306, Santa Maria CA 93454-8904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mize, Bruce F can be contacted via phone (805) 614-9880.

Contact Information

Primary practice address
116 S Palisade Dr Suite 306 Santa Maria CA 93454-8904
Phone: (805) 614-9880
Fax: (805) 614-9881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G16927 California

Profile Details

NPI number 1891864351
LBN Legal business name Mize, Bruce F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Mar 10th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891864351 NPPES
California MEDICAID 00G169270

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