DR. Mark Allen Bruce

NPI #1942429311 in Marion, Illinois

Provider Information

NPI Number: 1942429311
Entity Type: Individual
Name: DR. Mark Allen Bruce
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 301 N VAN BUREN ST
City: Marion
State: Illinois
ZIP Code: 62959-2335
Phone: (618) 993-3187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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