Dr BRUCE M ENNIS is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 1983.
675 N CAUSEWAY BLVD
MANDEVILLE
LA
704484600
Tel:
| Npi | 1639134901 |
| Pac Id | 4486686318 |
| Professional Enrollment Id | I20101116001119 |
| Last Name | ENNIS |
| First Name | BRUCE |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1983 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 675 N CAUSEWAY BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 704484600 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 190015 |
| Hospital Affiliation Lbn 1 | NORTH OAKS MEDICAL CENTER, L L C |
| Hospital Affiliation Ccn 2 | 190045 |
| Hospital Affiliation Lbn 2 | ST TAMMANY PARISH HOSPITAL |
| Hospital Affiliation Ccn 3 | 190176 |
| Hospital Affiliation Lbn 3 | TULANE MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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