Charles Eugene Bruso M.D.

NPI 1114104981 - Radiology - 2085R0001X

NPI Details
NPI 1114104981
Gender Male
Enumeration Date 01/23/2008
Last Updated 01/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2755 SILVER CREEK RD
SUITE 115
BULLHEAD CITY AZ, 86442-7904, US
Phone (928) 763-3600
Fax (928) 763-5700
Business Location
2755 SILVER CREEK RD
SUITE 115
BULLHEAD CITY AZ, 86442-7904, US
Phone (928) 763-3600
Fax (928) 763-5700
Toxanomy
Taxonomy Code 2085R0001X
License State Arizona
License Number 23430
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According to our database, Charles Eugene Bruso M.D. NPI is 1114104981, taxonomy code is 2085R0001X and license number is 23430, license state is located at Arizona. Charles Eugene Bruso M.D. physically located at 2755 Silver Creek Rd, Bullhead City AZ, 86442-7904. NPI Number Charles Eugene Bruso M.D. has the Individual type.

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1114104981 NPI number is provided on an as is basis without warranty of any kind. 1114104981 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Eugene Bruso M.D. are for informational purposes only.