Individual
ERIC BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD, CCC-A
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0035
Mailing address
421 ABBEYDALE WAY, COLUMBIA, SC 29229
(435) 881-6531
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7306263-4101
UT
Other
Enumeration date
11/03/2015
Last updated
10/06/2021
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