Provider Demographics
NPI:1932387636
Name:VEEDER, BRUCE EUGENE (PA-C)
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:EUGENE
Last Name:VEEDER
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:234 CHERRYBARK DR
Mailing Address - Street 2:
Mailing Address - City:STEDMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28391-9411
Mailing Address - Country:US
Mailing Address - Phone:910-867-7777
Mailing Address - Fax:910-868-7778
Practice Address - Street 1:2817 ROCK MERRITT AVENUE
Practice Address - Street 2:
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28310-4426
Practice Address - Country:US
Practice Address - Phone:910-907-7780
Practice Address - Fax:910-907-5891
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2023-09-25
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Provider Licenses
StateLicense IDTaxonomies
NC143533363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant