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Kolton Bruce, HIS
NPI 1356067300 · on the registry since 2022
Practice
- Address
- 700 N 54th St
Quincy, IL 62305 - Phone
- (217) 640-5904
- Organisation at this address
- Sams West Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-06
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 Illinois