Bruce C Dundon Md Ltd

NPI 1366423212 - Dermatology - 207N00000X

NPI Details
NPI 1366423212
Enumeration Date 11/08/2005
Last Updated 10/17/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BRUCE CARROLL BRUCE
Position PRESIDENT
Phone (757) 460-1124
Fax (757) 460-0359
Practice Location
1020 INDEPENDENCE BOULEVARD
SUITE 312
VIRGINIA BEACH VA, 23455-5503, US
Phone (757) 460-1124
Fax (757) 460-0359
Business Location
1020 INDEPENDENCE BOULEVARD
SUITE 312
VIRGINIA BEACH VA, 23455-5503, US
Phone (757) 460-1124
Fax (757) 460-0359
Toxanomy
Taxonomy Code 207N00000X
License State Virginia
License Number 0101026335
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According to our database, Bruce C Dundon Md Ltd NPI is 1366423212, taxonomy code is 207N00000X and license number is 0101026335, license state is located at Virginia. Bruce C Dundon Md Ltd physically located at 1020 Independence Boulevard, Virginia Beach VA, 23455-5503. NPI Number 1033115704 has the healthcare provider type.

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1366423212 NPI number is provided on an as is basis without warranty of any kind. 1366423212 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce C Dundon Md Ltd are for informational purposes only.