MR. Bruce R Douglas, PA
NPI #1417978842 in Royal City, Washington
Provider Information
- NPI Number
- 1417978842
- Entity Type
- Individual
- Name
- MR. Bruce R Douglas, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Mar 30, 2021
Practice Location
- Address
- 103 CAMELIA ST.
- City
- Royal City
- State
- Washington
- ZIP Code
- 99357
- Phone
- (509) 663-8711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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