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Organization
SKB LLC
Active
Organization
SKB LLC
Active
Other names
Family Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN K BRUNK D.O. (OWNER,PHYSICIAN)
(636) 441-3322
Entity
Organization
Contact information
Practice address
514 JUNGERMANN RD, SAINT PETERS, MO 63376-2730
(636) 441-3322
(636) 441-4302
Mailing address
514 JUNGERMANN RD, SAINT PETERS, MO 63376-2730
(636) 441-3322
(636) 441-4302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
06/30/2008
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