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Amy M Bruce, PA-C

Physician Assistant in Palo Alto, CA. Individual provider (NPI-1).

NPI number1033410550
StatusActive
Last updated in NPPESOct 26, 2018

Details

NPI
1033410550
Entity type
Individual (NPI-1)
Name
Amy M Bruce
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Nov 15, 2010
Last updated
Oct 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant17757CAYes
363AS0400X Physician Assistant, Surgical17757CA

Other names

  • Amy M Petty (Former Name)

Practice location

725 Welch Rd Rm 3554
Palo Alto, CA 94304-1601

Phone 650-736-7664

Mailing address

514 Sapphire St
Redwood City, CA 94062-2932

Phone 734-945-5314

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