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Individual
WILLIAM L BUNTAIN
Active
Individual
WILLIAM L BUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036131963
IL
208600000X
Surgery Physician
20030056
NM
2086S0120X
Pediatric Surgery Physician
Primary
04-23862
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35326751
—
NM
Enumeration date
03/22/2007
Last updated
11/22/2016
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