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1891771879
BRUCE DOUGLAS WALLEY
WINSTON SALEM, NC
NPI
1891771879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: NC 19421)
Enumeration Date
2005-12-21
Last Update Date
2008-09-11
Business Address
Dr. BRUCE DOUGLAS WALLEY MD
4622 COUNTRY CLUB RD SUITE 180
WINSTON SALEM, NC 27104-3770
Phone number: 336-768-9535
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Mailing Address
Dr. BRUCE DOUGLAS WALLEY MD
4622 COUNTRY CLUB RD SUITE 180
WINSTON SALEM, NC 27104-3770
Phone number: 336-768-9535
Copy
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