DR. Bruce John Grattan JR., DO, MS, RD

NPI #1265096911 in Gouverneur, New York

Provider Information

NPI Number: 1265096911
Entity Type: Individual
Name: DR. Bruce John Grattan JR., DO, MS, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: DO, MS, RD
Enumeration Date: Apr 29, 2019
Last Updated: May 8, 2023

Practice Location

Address: GOUVERNEUR HOSPITAL
Address 2: 77 WEST BARNEY STREET
City: Gouverneur
State: New York
ZIP Code: 13642-1040
Phone: (315) 287-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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