Bruce, Marc Brian

Bruce, Marc Brian is an individual health care provider with primary practice located at 401 W Poplar St Radiology, Walla Walla WA 99362-2846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bruce, Marc Brian can be contacted via phone (509) 522-5790.

Contact Information

Primary practice address
401 W Poplar St Radiology Walla Walla WA 99362-2846
Phone: (509) 522-5790
Fax: (509) 522-5887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00044555 Washington

Profile Details

NPI number 1386746998
LBN Legal business name Bruce, Marc Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2006
Last updated Oct 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386746998 NPPES
Oregon MEDICAID 0007187
Oregon MEDICAID 8488116

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