Bruce A Bouma is a Specialist in Spokane, Washington. Bruce A Bouma practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bruce A Bouma is 1780676734. The last update date is 2011-01-20.
Bruce A Bouma's current location address is 235 E Rowan Ave, Spokane, Washington. You can contact this provider via phone number 5093443100 and fax number 5093443104. The mailing address for Bruce A Bouma is 235 E Rowan Ave, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce A Bouma |
|---|---|
| Address | 235 E Rowan Ave, Spokane, Washington |
| Phone Number | 5093443100 |
| Fax Number | 5093443104 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780676734 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2011-01-20 |
Provider Mailing Address Detail
| Address | 235 E Rowan Ave |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992071240 |
| Phone Number | 5093443100 |
| Fax Number | 5093443104 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD00019896 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8322109 | WA | -- |
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What is the Bruce A Bouma's unique identification number?
The Bruce A Bouma has been assigned the NPI (National Provider Identifier) Number 1780676734 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the Bruce A Bouma's area of specialization and corresponding taxonomy classification?
The Bruce A Bouma's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
What is Bruce A Bouma's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bruce A Bouma is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Bruce A Bouma receive its 1780676734 assignment from the Centers for Medicare & Medicaid Services?
The Bruce A Bouma was assigned its 1780676734 by the Centers for Medicare & Medicaid Services on 2005-08-16.
As of what date were the Bruce A Bouma's details last updated?
The information pertaining to the Bruce A Bouma, including its address, specialty, and other details, was most recently updated on 2011-01-20.
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