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1245235001
BRUCE MICHAEL DISTELL
FAYETTEVILLE, NC
NPI
1245235001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: NC 33497)
Enumeration Date
2005-06-17
Last Update Date
2023-10-30
Business Address
BRUCE MICHAEL DISTELL M.D.
3186 VILLAGE DR STE 201
FAYETTEVILLE, NC 28304-3979
Phone number: 910-486-5700
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Mailing Address
BRUCE MICHAEL DISTELL M.D.
3186 VILLAGE DR 201
FAYETTEVILLE, NC 28304-3979
Phone number: 910-486-5700
Copy
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