Individual
THOMAS BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67-000063
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000232157
UNISON
OH
01
—
000000515961
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
2474737
—
OH
01
—
414953
WELLCARE MEDICAID
OH
01
—
430037558
RAILROAD MEDICARE
OH
01
—
5421675
AETNA
OH
01
—
P00412430
RAILROAD MEDICARE
OH
Enumeration date
07/24/2006
Last updated
05/12/2008
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