Bruce, Robert Raymond

Bruce, Robert Raymond is an individual health care provider with primary practice located at 10901 E 48Th St , Tulsa OK 74146-5830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bruce, Robert Raymond can be contacted via phone (918) 749-8765.

Contact Information

Primary practice address
10901 E 48Th St Tulsa OK 74146-5830
Phone: (918) 749-8765
Fax: (918) 392-2155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 11741 Oklahoma

Profile Details

NPI number 1407877970
LBN Legal business name Bruce, Robert Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 5th, 2022 - about 2 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 1407877970 NPPES
Oklahoma MEDICAID 100135380A

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