Provider Demographics
NPI:1780966937
Name:MACBRUCE, DAPHNE KAREN (MD)
Entity type:Individual
Prefix:DR
First Name:DAPHNE
Middle Name:KAREN
Last Name:MACBRUCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2713 S 74TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5155
Mailing Address - Country:US
Mailing Address - Phone:479-314-4620
Mailing Address - Fax:479-314-4630
Practice Address - Street 1:2713 S 74TH ST STE 301
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5155
Practice Address - Country:US
Practice Address - Phone:479-314-4620
Practice Address - Fax:479-314-4630
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-9013207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine