1700936200

Everything you always wanted to know about DR. TRIPPE S BRUCE MD but were afraid to ask.

DR. TRIPPE S BRUCE MD

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. TRIPPE S BRUCE MD
Gender:
Male
Enumeration date:
2007-01-10
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
51046410 Other BLUE CROSS AL

Taxonomies

Taxonomy State License Number Primary?
207RE0101X Endocrinology, Diabetes & Metabolism AL 7167 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3342709914
Mailing Address Fax Number 3342703195
Practice Location Address Telephone Number 3348342940

Addresses

Type Address City State Postal Country
Mailing Address 2257 TAYLOR RD MONTGOMERY AL 36117 AL
Practice Location Address 2030 CHESTNUT ST SUITE 200 MONTGOMERY AL 0 AL

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