GENTRY BRUCE ENSIGN

TRAVIS AFB, CA
NPI1437675576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2017-08-21
Last Update Date2026-06-15
Business Address
GENTRY BRUCE ENSIGN DPT, DO
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3000
Mailing Address
GENTRY BRUCE ENSIGN DPT, DO
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3000