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Search › Indiana › 2255A2300X

Bruce Willard, LAT, ATC

NPI 1053738047 · on the registry since 2014

Practice

Address
201 Pennsylvania Parkway
Thomas A Brady Sports Medicine Center Pc
Indianapolis, IN 46280
Phone
(317) 491-5464
Organisation at this address
Naval Sondhi, Md
Peach Medical Llc
Ageless Center Llc
Gavin J. Roberts, Md
Dana L. Donaldson, Od
Inferred from a shared address, not stated in the registry.
Clinicians at this address
61

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana