Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | E-13170 | AR |
N | 208600000X | Surgeon | E-13170 | AR |
Y | 2086S0102X | Surgical Critical Care | E13170 | AR |
NPI | 1295154789 |
---|---|
Provider Name | Nolan R Bruce |
First Address | Little Rock, AR 72205-7101 |
Second Address | Little Rock, AR 72205-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 12/08/2020 |