Ivy Creek of Elmore, LLC

NPI #1508480633 in Wetumpka, Alabama

Provider Information

NPI Number: 1508480633
Entity Type: Organization
Organization Name: Ivy Creek of Elmore, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: IVY CREEK OF ELMORE, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 4, 2020
Last Updated: Jun 4, 2020

Practice Location

Address: 525 HOSPITAL DR
City: Wetumpka
State: Alabama
ZIP Code: 36092-1626
Phone: (334) 567-5626

Authorized Official

Name: MICHAEL D BRUCE, DO
Title: CEO
Phone: (334) 567-4311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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