MEDICARE: FLIR INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1356669477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLIR INC

Provider Business Mailing Address
First Line	:	622 N 900 E
Second Line	:
City	:	SPANISH FORK
State	:	UT
Zip	:	84660-1695
Country	:	US
Telephone Number	:	307-203-9239
Fax Number	:

Provider Business Practice Location Address
First Line	:	1027 S RAINBOW BLVD
Second Line	:	STE 308
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-6232
Country	:	US
Telephone Number	:	307-203-9239
Fax Number	:

Authorized Official
Title or Position	:	FAMILY PRACTICE/PLASTIC SURGERY
Name	:	STEPHEN J BRUCE
Credential	:	M.D.,
Telephone Number	:	307-203-9239

Provider Enumeration Date	:	05/13/2010
Last Update Date	:	09/24/2010

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