RICHARD L BRUCK M D A PROFESSIONAL CORPORATION is a specialist in Upland, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RICHARD L BRUCK M D A PROFESSIONAL CORPORATION NPI is 1194913624. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
591 N 13TH AVE
STE.3
UPLAND, CA
ZIP 91786-967
Phone: (951) 217-8640
Fax: (909) 920-3379
The provider's authorized official is Richard Lawrence Bruck .
The authorized official title is Owner and has the following contact phone number (951) 217-8640.
The CLIA number assigned to this NPI record is 05D2083890 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/10/2007 and was last updated on 10/23/2012.