Dr. Bruce Alan Mann, M.D.
Internal Medicine in Albuquerque, NM. Individual provider (NPI-1).
NPI number1104817469
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104817469
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bruce Alan Mann
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 82-84 | NM | Yes |
Practice location
12800 Indian School Rd NeAlbuquerque, NM 87112-4722
Phone 505-816-5555
Mailing address
Po Box 27630Albuquerque, NM 87125-7630
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