NPI 1013564285

Octavia Elisa Bruce

Practitioner Specialist Homewood, AL

Practice location

Address: 808 Green Springs Hwy Suite 124 Studio 4, Homewood, AL 35216
Phone: (205) 862-8696

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1013564285
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2019
Record last updated: 22 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.