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DR. JORDAN BRUCE MD

Physicians Plastic Surgery

Provider NPI: 1700306347

Provider Information:
DR. JORDAN  BRUCE MD
Gender: M
Not Sole Proprietor

Practice Location:
1 BARNES JEWISH HOSPITAL PLZ  SAINT LOUIS, MO 63110-1003 US
Tel: 314-362-5000  Fax: --

Business Mailing Address:
660 S EUCLID AVE DEPARTMENT OF PLASTIC SURGERY, BOX 8238 SAINT LOUIS, MO 63110 US
Tel: 314-362-7388  Fax: --

NPI Information:
NPI: 1700306347
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208200000XPhysicians
Plastic Surgery
MO2017021026

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208200000X

Type:

Classification:



Definition:



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