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1316109564
ADAM W BRUCKNER
AIKEN, SC
NPI
1316109564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 1639)
Enumeration Date
2008-06-30
Last Update Date
2019-02-23
Business Address
ADAM W BRUCKNER D.O.
420 SOCIETY HILL DR SUITE 200
AIKEN, SC 29803-1731
Phone number: 803-649-7266
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Mailing Address
ADAM W BRUCKNER D.O.
367 S. GULPH RD ATT: IPM CREDENTIALING
KING OF PRUSSIA, PA 19406-3121
Phone number: 803-649-7266
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