Ragsdale, Bruce D

Ragsdale, Bruce D is an individual health care provider with primary practice located at 3701 S Higuera St Ste 200, San Luis Obispo CA 93401-7462. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Ragsdale, Bruce D can be contacted via phone (805) 541-6033.

Contact Information

Primary practice address
3701 S Higuera St Ste 200 San Luis Obispo CA 93401-7462
Phone: (805) 541-6033
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X A23785 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A23785 California
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X A23785 California

Profile Details

NPI number 1225072374
LBN Legal business name Ragsdale, Bruce D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 7th, 2023 - about last year

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 1225072374 NPPES
California MEDICAID 00A127850
California MEDICAID GR0058760

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