BRUCE F. MIZE, M.D., INC.
Osteopathic Medicine at Palisade Dr, Santa Maria, CA

License number
California G16927
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: BRUCE FRANCIS MIZE M.D.
Title: PRESIDENT
Phone: (805) 614-9880
Address
Address
116 S Palisade Dr STE 306, Santa Maria, CA 93454
National Provider ID: 1437359734
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRUCE F. MIZE, M.D., INC

Santa Maria, CA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Dec 29, 1981
Phone:
(805) 614-9880 (Phone)
Addresses:
220 S Palisade #104, Santa Maria, CA 93454 (Physical)
116 S Palisade Dr STE 306, Santa Maria, CA 93454 (Physical)
State ID:
C1099730
Business type:
Articles of Incorporation
Members:
Igor J. Nastaskin (President),Bruce F. Mize President, inactive,Endoscopy Surgery Center Of Santa Maria, L.p Member, inactive
Agent:
Md Bruce F Mize,Santa Maria, CA 93454 (Physical)

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