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Jared Bruce, DO
General Practice Physician in Lacey, Washington
NPI 1295272433

Jared Bruce is a General Practice Physician based in Lacey, WA. Jared Bruce practices in Lacey, WA and has the professional credentials of DO. The NPI Number for Jared Bruce is 1295272433 and holds a License No. (Washington).

The current practice location address for Jared Bruce is 1400 Brittany Ln Ne Apt A106, Lacey, WA and can be reached out via phone at 760-484-6469.

Location: 1400 Brittany Ln Ne Apt A106, Lacey, WA, 98516-5779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295272433
Provider Name
Jared Bruce
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1400 Brittany Ln Ne Apt A106, Lacey, WA, 98516-5779
Phone Number
760-484-6469
Fax Number
Provider Enumeration Date
01/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 Brittany Ln Ne Apt A106
City
Lacey
State
Washington
Zip
98516-5779
Phone Number
760-484-6469
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Brittany Ln Ne Apt A106
City
Lacey
State
Washington
Zip
98516-5779
Phone Number
760-484-6469
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
OP61168034 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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