NPI | 1982620357 |
---|---|
Doing Business As | BRUCE MAYER MD |
Entity Type | Organization |
Authorized Contact | BRUCE MATTHEW MAYER Md 757-566-2045 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101046065) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-02-05 |