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Individual
DR. GAYLON LYN BRUNSON
Active
Individual
DR. GAYLON LYN BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C5982
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256000000
QUALCHOICE
AR
01
—
50722
HEALTH ADVANTAGE
AR
01
—
7420010
UNITED HEALTH CARE
AR
Enumeration date
01/12/2006
Last updated
07/08/2007
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