person
Diana Michelle Bruce
Medical Physician Assistant in Redwood City, California
NPI 1801051529

Diana Michelle Bruce is a Medical Physician Assistant based in Oakland, CA and is specialized in Medical. Diana Michelle Bruce practices in Redwood City, CA. The NPI Number for Diana Michelle Bruce is 1801051529 and holds a License No. PA17825 (California).

The current practice location address for Diana Michelle Bruce is 1150 Veterans Blvd, Redwood City, CA and can be reached out via phone at 650-299-4436 and via fax at 650-299-2677.

Location: 1150 Veterans Blvd, Redwood City, CA, 94612-3466
person
Provider Profile Details
NPI Number
1801051529
Provider Name
Diana Michelle Bruce
Credential
Provider Entity Type
Individual
Gender
Female
Address
1150 Veterans Blvd, Redwood City, CA, 94612-3466
Phone Number
650-299-4436
Fax Number
650-299-2677
Provider Enumeration Date
07/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA17825 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1150 Veterans Blvd
City
State
Zip
94063-2037
Phone Number
650-299-4436
Fax Number
650-299-2677
person
Provider Business Mailing Address Details
Address
1150 Veterans Blvd
City
State
Zip
94063-2037
Phone Number
650-299-4436
Fax Number
650-299-2677
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA17825 (California)
Definition
Definition to come...
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