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Dr. Bruce A Bouma, MD
Specialist in Spokane, Washington
NPI 1780676734

Bruce A Bouma is a Specialist based in Spokane, WA. Bruce A Bouma practices in Spokane, WA and has the professional credentials of MD. The NPI Number for Bruce A Bouma is 1780676734 and holds a License No. MD00019896 (Washington).

The current practice location address for Bruce A Bouma is 235 E Rowan Ave, Spokane, WA and can be reached out via phone at 509-344-3100 and via fax at 509-344-3104.

Location: 235 E Rowan Ave, Spokane, WA, 99207-1240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780676734
Provider Name
Bruce A Bouma
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
235 E Rowan Ave, Spokane, WA, 99207-1240
Phone Number
509-344-3100
Fax Number
509-344-3104
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8322109 05 WA
institution
Provider Business Practice Location Address Details
Address
235 E Rowan Ave
City
Spokane
State
Washington
Zip
99207-1240
Phone Number
509-344-3100
Fax Number
509-344-3104
person
Provider Business Mailing Address Details
Address
235 E Rowan Ave
City
Spokane
State
Washington
Zip
99207-1240
Phone Number
509-344-3100
Fax Number
509-344-3104
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00019896 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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