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BRUCE M ESPENSHADE MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1265655237

Individual Registrant:
 BRUCE M ESPENSHADE MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10 WOODLAND RD  SAINT HELENA, CA 94574-9554 US
Tel: 707-963-6399  Fax: 707-967-5915

Contact information for business:
PO BOX 7096  STOCKTON, CA 95267-0096 US
Tel: 209-956-7725  Fax: 209-956-7733

Registration Information:
NPI: 1265655237
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
KY42342
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
KY42342
N208M00000XAllopathic & Osteopathic Physicians
Hospitalist
CAC139297
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAC139297

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ANTHEM-NICC000000759205KY01
7100068760KY05
BCBS000000601798KY01
201140380IN05
MEDICARE- NORTON HEALTHCAREK042110KY01




HEALTH CARE JOBS CA - Page 1



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