Individual
MR. BRUCE ALAN KATUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1511 ONYX CIR, LONGMONT, CO 80504-7805
(303) 776-5298
(303) 682-2785
Mailing address
1511 ONYX CIR, LONGMONT, CO 80504-7805
(303) 776-5298
(303) 682-2785
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
0030103
CO
2084N0400X
Neurology Physician
Primary
DR.0030103
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01301035
—
CO
01
—
017732
KAISER COMMERCIAL NUMBER
CO
01
—
46095
MED LIC
TN
Enumeration date
09/02/2006
Last updated
08/15/2019
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