Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD.201997 | LA |
N | 208200000X | Surgeon | ME0080667 | FL |
N | 208600000X | Surgeon | ME0080667 | FL |
NPI | 1043213069 |
---|---|
Provider Name | David S Bruce |
First Address | New Orleans, LA 70121 |
Second Address | New Orleans, LA 70121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 26/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04235056 | (05) | MS |
1318957 | (05) | LA |
259525700 | (05) | FL |
G14000 | (02) | FL |