Individual
DR. BIANCA STEPHANIE BRUNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4611 E SHEA BLVD STE 190, PHOENIX, AZ 85028
(480) 889-0180
(480) 889-0186
Mailing address
4611 E SHEA BLVD STE 170, PHOENIX, AZ 85028-4258
(480) 301-8000
(480) 889-0186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006605
AZ
207R00000X
Internal Medicine Physician
5101019387
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
207QH0002X
AZ
208M00000X
Hospitalist Physician
006605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041428
—
AZ
01
—
5315050625
BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
06/13/2011
Last updated
03/22/2024
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