Bruce, Tami R
Bruce, Tami R is an individual health care provider with primary practice located at 3638 E Southern Ave Ste C108, Mesa AZ 85206-2563. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bruce, Tami R can be contacted via phone (480) 834-0771.Contact Information
Primary practice address
3638 E Southern Ave Ste C108
Mesa AZ 85206-2563
Phone: (480) 834-0771
Fax: (480) 834-1136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26874 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26874 | Arizona |
Profile Details
| NPI number | 1548324254 |
|---|---|
| LBN Legal business name | Bruce, Tami R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Mar 31st, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548324254 | NPPES |
| Arizona | MEDICAID | 688195 |
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