BRUCE J WALZ

ST LOUIS, MO
NPI1063439677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: MO  30961)
Enumeration Date2006-07-17
Last Update Date2008-01-09
Business Address
-- BRUCE J WALZ MD
3635 VISTA
ST LOUIS, MO 63110
Phone number: 314-577-8815
Mailing Address
-- BRUCE J WALZ MD
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-4440
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